In February of this year, the ONC and CMS proposed a new interoperability rule that promises to be a game-changer for patients, providers, and software developers like us. Given that the federal government has spent tens of billions of dollars trying to get clinical providers on the electronic health record (EHR) bandwagon with, questionable results at best, it’s a case of better late than never. Here is my perspective as CEO of a clinical decision support startup that stands to benefit from the rule, once it is implemented.
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Topics: Improving Healthcare, Start ups
Medicare Advantage plans use Risk Adjustment Factor (RAF) scores to determine patient care expenses. The RAF is therefore a benchmark that enables the Centers for Medicare & Medicaid Services (CMS) to estimate future spending. With higher RAF scores, the amount Medicare pays Medicare Advantage plans for patient care also increases. Ultimately the goal is to improve patient outcome with reduced costs. Risk adjustment can also affect physician income. More recently, Medicare is using the HCC model to allocate costs for patients in Medicare Accountable Care Organizations.
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Topics: HCC coding
What should Athenahealth users know about Infera?
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Topics: Clinical Decision Support, EHR, EHR Integration, EMR, Inferscience News, athenahealth, CDSS, Improving Healthcare
Down in the trenches of Medicare Advantage primary care, most providers in the business know the importance of HCC coding. However, for the busy practitioner who is taking care of the patient and dealing with an alphabet soup of mandates such as HEDIS, STAR, HCAHPS etc, it is quite a task to pay attention to HCC coding in real time. As a result, providers fall short and have to answer then queries from coders re HCC codes that may have been missed.
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Topics: Inferscience News, HCC coding, Improving Healthcare
As CEO of a startup whose main product provides advanced clinical decision support (CDS), I read with interest the draft guidelines for CDS software that The CDS Coalition came out with recently. I was also curious to see how our application, Infera, stacks up against the guidelines. I am happy to report that it stacks up really well. Read on for more details:
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Topics: Improving Healthcare
Inferscience is proud to announce the release of an innovative new technology for optimal HCC coding at the point of care in real time. The HCC Assistant was designed to optimize accurate and real time documentation of the patient conditions critical to predicting the risk and future cost of Medicare Advantage patient populations.
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Topics: risk adjustment, Inferscience News, HCC coding
In healthcare, we’re accustomed to things moving slowly. But every so often, trends accelerate and leaps are made, for better or sometimes worse. Recent news from two large EHR vendors about the adoption of open APIs signals an encouraging trend.
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Topics: Allscripts, EHR Integration, Epic, FHIR, Interoperability, athenahealth, Cerner, Improving Healthcare
The term “clinical decision support” (CDS) has been used for a long time to describe many different mechanisms offering clinical knowledge to clinicians in the clinical setting. But most organizations utilize solutions that deliver what can best be described as “passive support” requiring both user initiation and a lot of extra work for the clinician.
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Topics: EHR Integration, EMR, CDS, Clinician Experience, Improving Healthcare
