The social distancing protocols of today make it hard to see patients quickly and efficiently. In order to help your practice decrease contact in the waiting room and reduce patient wait time, we have developed new Text Check-In functionalities.
Watch the video below to see how Text Check-In can benefit your practice!
If you are interested in a free, custom demo of Criterions Text Check-In, complete the form here.
CMS has made changes to how Evaluation and Management Codes will be calculated beginning Jan 1, 2021. E/M codes will now have the option to ignore History (HPI, ROS, History) and Exam as part of the visit calculation. This shift allows providers to focus more on pertinent clinical documentation and less on data entry. In place of the data requirements from the past, E/M 2021 focusses on Medical Decision Making and Time Spent. This means there are no changes required for templates in 2021 E/M coding.
For 2021, the Criterions EHR is updating the Medical Decision Making calculation to the 2021 standard as well as providing options to select how much time was spent during the visit. The E/M page for Medicare patients will be redesigned to allow providers to use the various methods of calculation.
Enabling these options will be available in the Practice Defaults, allowing for activating the 2021 E/M calculation for Medicare only, or switch to all carriers as others accept the changing rules.
More information regarding E/M 2021 can be found from CMS here.
Are you looking for ways to alleviate staff workload and expedite the intake process at your practice? In this short, informative video, you will learn about tools and features in the Criterions Patient Portal that will help you do just that!
If you are interested in a free, custom demo of the Criterions Patient Portal, complete the form here.
*This post was written by our partners at TriZetto Provider Solutions.
We all like to think we’re experts: In car repair. Home improvements. Computers. Cooking. That’s why there are so many internet fail videos demonstrating the disastrous, often hilarious, outcomes of cooking catastrophes and home repairs gone awry.
With that idea in mind, here are the thirteen common steps in enrolling a new provider with a payer. Based on this list, credentialing might seem like something an accomplished DIYer could complete in a few weeks. If only it were that easy:
As the final quarter of 2020 approaches, practices should take action on time-sensitive programs that will impact reimbursement in the future. Below is our "2020 To Do List" with details outlining the steps you need to take to achieve each item.
October marks the last quarter that practices can begin to achieve compliance for certain MIPS categories in 2020:
• Confirm submission method - If you submitted via registry in the past, and plan to submit via eCQMS, or are considering submitting through a registry for 2020, make sure you understand the allowed measures, costs, and outcomes.
• Practices should run their Promoting Interoperability and MU3 – Clinical Quality Measures reports every month to ensure practice is meeting requirements.
• Complete your Security Risk Analysis.
• Document progress on Improvement Activities.
For more information, read the MIPS 2020 and Criterions blog post.
The Centers for Medicare and Medicaid (CMS) currently requires all providers to use a Clinical Decision Support Mechanism (“CDSM”) to electronically validate advanced imaging orders using approved online guidelines. On January 1, 2021, imaging centers will not be reimbursed for orders that do not include this information so it is vital that ordering physicians be able to perform the validation without impacting their workflow.
Learn how to meet the AUC validation requirements under PAMA here.
With changes to MIPS, practices are now required to have live bidirectional interfaces with NYCIR and NYSIIS.
Why practices need it:
• These interfaces send immunizations for Adults and Children to the respective registry electronically in the new MIPS format.
• The old interface is no longer valid with new rules.
• Practices without the electronic interface cannot attest on MIPS for submitting to a public registry. This will affect MIPS compliance.
• Practices not in NYC must purchase a NYSIIS interface for immunizations for Adults and Children.
• Practices in NYC must purchase a NYC CIR interface for immunizations for Adults and Children.
• This MIPS interface sends the immunizations administered, as well as retrieves the patients current immunizations already administered by other physicians from the registry.
Contact support@criterions.com to purchase.