Data interoperability in healthcare refers to the seamless and secure exchange of patient information among different healthcare systems, providers, and organizations. The lack of interoperability can lead to fragmented data silos, making it difficult for healthcare professionals to access comprehensive patient information. This can result in inefficiencies, medical errors, and ultimately hinder the delivery of quality care.  In this article, we’ll delve into the significance of interoperability in healthcare and explore how it can streamline processes, improve patient care, and drive inn ..read more

Chronic illnesses, such as diabetes, hypertension, and heart disease, pose a significant healthcare challenge. Managing these conditions effectively requires ongoing care and coordination. To address this, the Medicare Chronic Care Management (CCM) program was introduced to provide comprehensive care for patients with multiple chronic diseases. It is a valuable initiative that aims to provide better care, reduce healthcare costs, and enhance the quality of life for individuals with complex health needs. The CCM program not only provides better care for patients with chronic conditions but also ..read more

Healthcare providers often face the challenge of identifying whether their services and interventions are producing the desired outcomes. In this regard, healthcare effectiveness data and information set (HEDIS) is a valuable tool that is used to measure how well healthcare providers are meeting the needs of their patients. HEDIS is widely used by insurers to measure the quality of care delivered by healthcare providers. This blog post will provide an overview of what HEDIS is, its importance, and how healthcare providers can use it to improve patient care. What is HEDIS? HEDIS is a set of sta ..read more

Chronic diseases such as diabetes, heart disease, and chronic obstructive pulmonary disease (COPD) are major health concerns worldwide. These diseases require long-term medical care and management, which can be challenging for both healthcare providers and patients. However, the advent of remote patient monitoring (RPM) technology has significantly transformed chronic disease management. This technology allows healthcare providers to remotely monitor and manage the health of patients with chronic diseases. In this article, we’ll explore the benefits of RPM for chronic disease management. Impro ..read more

[Part 1 of a 12-Part Series] Healthcare is rife with significant challenges that can in some cases be minimized at the very minimum and in most cases be eliminated by the use of technology. The 12-part series begins by elaborating on macro level challenges that the healthcare industry is starting to address with technology to stem the bleeding/reverse the onset of more severe complications. Challenge 1: Supply and demand Healthcare service delivery provisioning across the globe is starkly marked by the lack of adequate supply of qualified clinicians and specialists. This situation has been sig ..read more

Digital health is an all-encompassing term that refers to the care provided through eHealth and mHealth through advances in computing sciences. Challenges or Gaps in Traditional Care Major technological challenges faced by the healthcare industry have got to do with data processing, cybersecurity, and providing a user-friendly experience. However, advancements in each of these fields have proven to be gainful, and will continue to do so. Our focus here has more to do with the user experience aspect of digital health management. There are quite a number of digital health care providers, rather ..read more

Chronic Care Management: The chronic care management program was virtually untouched by the 2021 Final Rule from CMS. There are three main CPT codes and two add-on CPT codes in 2021 that may be billed by primary care providers for CCM services. Requirements for CCM: Non-Complex CCM: Two or more chronic conditions expected to last at least 12 months (or until the death of the patient) Patient consent (verbal or signed) Personalized care plan in a certified EHR and a copy provided to the patient 24/7 patient access to a member of the care team for urgent needs Enhanced non-face-to-face communi ..read more

Most people think of CMS (Centers for Medicare & Medicaid Services) as an insurance company that covers individual services provided by physicians, FQHCs, hospitals, and other health care providers. Some people even think of it as a policy-writing agency for Medicare. It is true that CMS reimburses providers for services to millions of individual beneficiaries. However, since the Affordable Care Act came into action in 2010, CMS has been developing focused payment strategies that shift from fee for services to value-based care and a focus on population health.  Today, CMS’s second-hig ..read more

During the COVID-19 pandemic, CMS has taken the necessary steps to make it easier to provide quality care through telehealth services. This unprecedented action by CMS has encouraged healthcare providers to adopt and use telehealth as a way to safely provide care to their patients in situations like medication consultation, eye exams, nutrition counseling, behavioral health counseling, and routine health check-ups like annual wellness visits. Past data have shown telehealth to be an effective medium for patients to access healthcare providers especially for managing chronic conditions like dia ..read more

During the COVID-19 pandemic, CMS has taken the necessary steps to make it easier to provide quality care through telehealth services. This unprecedented action by CMS has encouraged healthcare providers to adopt and use telehealth as a way to safely provide care to their patients in situations like medication consultation, eye exams, nutrition counseling, behavioral health counseling, and routine health check-ups like annual wellness visits. Past data have shown telehealth to be an effective medium for patients to access healthcare providers especially for managing chronic conditions like dia ..read more