Though we seldom see their use in our modern world and, even then, only in fiction, there was a time when it was common for people to actually use things like crystal balls and divining rods to try to uncover unknown yet valuable information. As unbelievable as it may seem, soothsayers peered into crystal balls aiming to help seekers look into the future for guidance, while prospectors would rely earnestly on divining rods as they attempted to locate underground riches of water or oil. While
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AMA
Value-Based Administration Enables All VBC Network Stakeholders to Benefit
Despite holding the promise of delivering superior patient outcomes while lowering healthcare costs, many providers remain reluctant to embrace value-based care (VBC) reimbursement models. Progress toward VBC adoption hasn’t achieved its potential yet, hovering around 60% of all payment models from 2018 to 2021, with the remaining 40% comprised of traditional fee for service (FFS). Though some providers simply are hesitant to abandon the FFS model that has served them well, others are leery
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New Medical Billing Codes You Should Know About
Physicians need to keep their billing and coding right to ensure seamless reimbursements from payers. Similarly, they should stay updated with the latest coding changes to keep their revenue cycle intact. In addition, running a successful medical practice is a daunting task as the providers need to stay updated with the industry guidelines. The year 2023 is bringing changes in medical codes to help providers reduce their burden and streamline patient care. So, providers need to stay focused on
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How Home Health Tech Can Solve a Stubborn $290B Healthcare Challenge
The good news on the medical front is that with advances in therapy, people with chronic diseases are able to remain in their homes and even live active lifestyles, which improves their quality of life and can save them, the government (Medicaid/Medicaid), and the insurance industry money. But -- and it’s a big one -- those savings can only be achieved if those patients adhere to their medication schedules. Non-adherence first came to the forefront of awareness back in 2009, when the New
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Why It’s Time for Intelligent Prior Authorization
The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Specifically, the rule stipulates that health plans adopt electronic prior authorization processes, adhere to shorter turnaround times, clearly communicate denial reasons, publish key metrics annually, and implement the Fast Healthcare Interoperability Resources (FHIR) Application Programming Interface
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Digital Health Adoption Reaches New Heights Among Physicians
What You Should Know: - Physicians are increasingly seeing the advantages of digital health solutions since 2016 when the American Medical Association (AMA) first investigated the motivations, requirements, and uses of digital health technology among physicians. - New AMA digital health research released today shows increased rates of digital health adoption among physicians, provides deep insight into the essential qualities that physicians expect from digital health
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Health Data Privacy: Majority of Patients Demand Accountability, Transparency
What You Should Know: - A new examination of patient perspectives on health data privacy illustrates unresolved tension over the eroding security and confidentiality of personal health information in a wired society and economy. - More than 92% of patients believe privacy is a right and their health data should not be available for purchase, according to a survey released by the American Medical Association (AMA). Privacy and Health Information Accessibility The survey of 1,000
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At-Home Digital Health Innovations Transforming Diabetes Care
If you’re looking for a silver lining in the COVID-19 dark cloud still enshrouding the world, consider this: The pandemic has turbocharged widespread acceptance of at-home digital health solutions. Forced to function in a world of social distancing, healthcare providers and physicians have quickly discovered how easily telehealth visits, remote patient monitoring (RPM) and digital therapeutics can improve patient care. Many of these digital health innovations are designed to address
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AMA Forms External Advisory Group to Advance Equity in Healthcare Innovation
What You Should Know: - The American Medical Association (AMA) today announced the creation of an external advisory group, the Equity and Innovation Advisory Group dedicated to advance equity in healthcare innovation. - The advisory group plans to recommend strategies that will help drive equitable resources to health solutions created by marginalized innovators and include marginalized patients’ voices in health innovation development processes – with a target of ultimately reaching a
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AMA Assigns CPT Code for FDA-Cleared Solution to Treat Amblyopia (Lazy Eye)
What You Should Know: - RevitalVision today announced that a new CPT reimbursement code for its solution means millions of U.S. adults with amblyopia can now receive the therapeutic vision training they have needed for years. This software is FDA-cleared and clinically proven to improve vision in adult amblyopia. - CPT code numbers provide the most widely recognized pathway to report medical procedures and services for processing claims, conduct research, evaluate
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