Understanding how HCC codes work and why they matter is essential for reimbursement in 2022 and beyond. One of the best ways to ensure accurate HCC coding now and in the future is having the right tools to capture codes…
In less than a year, the Protecting Access to Medicare Act (PAMA) – aiming to address waste and ensure high-quality patient care – will go into effect and with it the requirement that providers use a clinical decision support (CDS)…
A large, multi-state health system was challenged with choosing a solution to achieve the Protecting Access to Medicare Act of 2014 (PAMA) compliance, which requires that all advanced imaging services meet the appropriate use criteria (AUC) with a fully qualified…
The on-demand generation can have an instant prior authorization process that rivals the ease of use of their rideshare, food ordering and movie streaming apps that makes their lives more enjoyable and productive. Download this e-book to learn about: Instant…
Advanced imaging services will start impacting your Centers for Medicare & Medicaid Services (CMS) reimbursements on Jan. 1, 2022. Transition to Stanson’s smart, provider-friendly Protecting Access to Medicare Act of 2014 (PAMA) solution from a legacy solution, and the first…
I’m an internist by background. I have been associated with Cedars-Sinai for many years. I have a passion for improving the quality of patient care. I have been focused on clinical decision support and information technology as a means to…
Artificial intelligence and machine learning are increasingly being used to automate critical business functions and support clinicians making complex clinical decisions. As the pandemic challenges healthcare organizations to think innovatively to improve cost effectiveness, AI is likely to play an…
For every dollar of healthcare costs, 80 to 90 cents are the result of a doctor ordering a medical service through an EMR. Nearly one-third of these services are typically unnecessary and wasteful. An additional 10 percent are viewed as…