Christina Bessette

September 2, 2021

ISASS and Other Medical Stakeholders Submit Letter Supporting Use of CPT for Physician Claims

ISASS and Other Medical Stakeholders Submit Letter Supporting Use of CPT for Physician Claims On July 30, 2021, ISASS, the American Medical Association (AMA), and other stakeholder organizations submitted a letter to the National Center on Vital Health Statistics (NCVHS) regarding a multi-phased effort to review clinical and administrative standards and terminologies. For phase one, NCVHS released a request for comment, due July 30th. In August, NCVHS held a series of listening sessions, and the AMA was invited to participate. On a related note, the Office of the National Coordinator for Health Information Technology held several meetings that resulted in recommendations to align administrative and clinical standards. Alignment included modifying the “upstream coding of information.” Rather than continuing to use […]
September 2, 2021

Report Finds Independent Practices Emerge From Pandemic Stronger With Increased Use of Telehealth

Report Finds Independent Practices Emerge From Pandemic Stronger With Increased Use of Telehealth mHealth Intelligence reported that “Independent medical practices are emerging from the chaos of the pandemic on stronger footing—thanks in no small part to telehealth.” That conclusion is according to “a new report from Kareo [that] finds that more than half the practices saw patient visits stay the same or grow in 2020, and three-quarters expect to see growth in 2021.” It also found that “the telehealth adoption rate among practices jumped from 22% in 2019 to 41% in 2020 to 80% at the end of that year.” The report on independent practices can be found here or in the attached PDF.
September 2, 2021

Study Finds CMS MIPS Scores Not Correlated With Reductions in Readmissions or Complications

Study Finds CMS MIPS Scores Not Correlated With Reductions in Readmissions or Complications Better MIPS quality scores may be rarely associated with lower rates of hospital complications in the first year of implementation, study finds. RevCycle Intelligence (8/9, McKeon) reported on research indicating that “better Merit-based Incentive Payment System (MIPS) quality scores were rarely associated with lower rates of hospital complications during the first year of program implementation.” The study included “over 38,000 specialty physicians using CMS’s Physician Compare and Hospital Compare data from 2017, the first year of MIPS.” It found that “MIPS quality scores for vascular surgeons in the 11th to 25th percentile were associated with a 0.55-percentage point higher rate of failure to rescue, compared to physicians in […]
September 2, 2021

Federal Government Agencies Accelerate Review of COVID-19 Provider Relief Fund Expenditures

Federal Government Agencies Accelerate Review of COVID-19 Provider Relief Fund Expenditures On August 27, 2021, the Biden administration announced it has hired several separate outside contractors to police the billions in COVID-19 grants it sent to hospitals and health care providers. The contracts, which have not previously been reported, are a sign that the federal government is beefing up enforcement on the grants that were intended to help health care providers recover from the pandemic. The Trump administration faced criticism for initially sending money out to health care providers based on past income, and not on need, and punted a difficult oversight process to the Biden team. As the Biden administration starts to crack down on its bookkeeping, the pace […]