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Subcategories:EMRsFacilityInsuranceQuality Assurance/ImprovementTechnology

Electronic Medical Records Have Mixed Impact on Quality, Quantity of Healthcare

David S. Knapp, MD, FACR  |  January 17, 2017

The widespread implementation of electronic medical records (EMRs) and electronic health records (EHRs) has significantly changed the quality and quantity of healthcare for both the better and the worse. The digitalization of medical records provides comprehensive documentation of all events and actions associated with an individual’s medical care. Likewise, legibility, accountability and credibility are greatly…

The ACR Insurance Subcommittee Advocates for Fair Payer Policies

From the College  |  January 17, 2017

The ACR is committed to advocating for appropriate coverage and payment policies. The volunteer members of the Insurance Subcommittee (ISC) lead this effort by representing the ACR and its membership to the insurance industry. The ISC engages payers to ensure their policies are clinically appropriate and promote patient access to high-quality care and treatment. The…

Rheumatology Coding Answer: Deconstructing Evaluation and Management Codes

From the College  |  January 17, 2017

Take the challenge. Answers: B: No—Only the treating physician can take the HPI. The medical assistant is allowed to take the review of systems. If the documentation indicates the treating physician did not take the HPI, the insurance can deny the claim as not medically necessary. B: No—If the high-risk medication is not assessed and…

AMA Updates Code of Medical Ethics

Kelly Tyrrell  |  January 17, 2017

Eight years ago, the American Medical Association’s (AMA) Council on Ethical and Judicial Affairs embarked on a comprehensive review of the AMA Code of Medical Ethics. What emerged after years of hard effort, intensive feedback and thoughtful revisions was a modernized version of the guide, which the AMA House of Delegates voted to adopt in…

Cyber Safety in the HIPAA Age

Richard Quinn  |  January 6, 2017

Ready for a cyber checkup? Auditing your health IT policies, safeguarding your hardware and educating your staff on the importance of data security should be routine, according to industry experts…

Top ACR Priorities in 2017 Include Drug Costs, MACRA

Kelly Tyrrell  |  January 4, 2017

With a new federal administration and Republican-controlled Congress taking the helm in 2017, the ACR Government Affairs Committee has identified top legislative and regulatory priorities for the year. “The main priority is going to be helping represent the rheumatology community as Medicare is reformed, because the era of MACRA started Jan. 1,” says Angus Worthing,…

Insurance Subcommittee to the Rescue

Mary Beth Nierengarten  |  January 4, 2017

Concerned about reimbursement for specialty drugs? Wondering if your patient can continue on a prescribed medication despite formulary changes? Unsure how to request a tier exception? No need to face these issues alone. The ACR has a resource that can assist with questions regarding coverage and payment policies for private insurers and Medicare. That resource…

Considering an Investment in a Healthcare Tech Startup? 5 Tips

Richard Quinn  |  December 20, 2016

Investing in a healthcare tech startup can be tempting for rheumatologists looking for a change of pace. Here are a few insights on the risks and benefits of investing…

MACRA: More Points, Smarter Future

Susan Bernstein  |  December 14, 2016

As the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is implemented in January with new models for quality-based reimbursement payments, rheumatologists must seize control of how they will be paid now—and in the future. This message was stressed by speakers during Holy MACRA! How to Survive and Thrive in the Era of MACRA,…

2015 ACR Workforce Study Report Offers Rheumatologists Chance to Improve Patient Care, Financial Outlook

Timothy Harrington, MD  |  December 13, 2016

I read the 2015 ACR Workforce Study Report with great interest as one who served on the 2005 Manpower Taskforce.1,2 I found it disappointing that the deficit in rheumatologist FTEs that we predicted a decade ago has become a fact. Of even greater concern, the strategies we proposed to address this problem have not been…

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