June 10, 2019 |  0
Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]
April 25, 2019 |  2
In April 2017, CMS implemented the new physician specialty code C6, specifically for hospitalists. There has been a lot of confusion about what this means and some uncertainty about why clinicians should bother to use it. Some folks thought initially that it was a new CPT code they could use to bill hospitalist services, which […]
March 6, 2019 |  0
You have read constant references about ACOs (accountable care organizations) in every journal you pick up until you are blue in the face, I’m sure. You or your hospital might even be participating in one. Mostly all straight Medicare patients (the two-thirds not in Managed Medicare) are eligible for inclusion. You need two things to […]
January 14, 2019 |  0
“The Joint Commission – [insert name of your institution here] is in the survey window.” A message you have become accustomed to seeing every few years at your hospital–and one administrators liken to habanero sauce on a gaping cold sore. But there is something else you should know. Bet you were not aware of this […]
January 7, 2019 |  0
Like you, I am focused on care transitions these days. Inpatient providers have gotten closer to mastering the hospital side of things (disease-specific care), but we still have a long way to go on broad-based QI with items such as hand washing, nosocomial infections, and patient communication. Additionally, the patient’s passage back from the wards […]
December 10, 2018 |  8
Seen the State of Hospital Medicine report for 2018? I have, and there is erudition galore. Here is one that has me contemplating. I was surprised to see the breakdown below. Not so long ago, I would say less than ten years, the scatter for adults was more balanced. By that I mean, the 99222 codes were […]