Some patients seem resistant to interventions aimed at helping them avoid preventable hospital visits. These so-called high utilizers typically have multiple chronic conditions, along with social or psychological conditions and/or substance use issues that can interfere with effective care. AbsoluteCARE, an ambulatory ICU, was created for these patients.
Q: Is texting an acceptable way to communicate with a patient? Do we need to ask the patient to sign a form with a statement to the effect that they prefer that we text information on test results, etc., rather than leave a voicemail asking them to call?
Along with quality measure removals in the 2018 OPPS and MPFS final rules, CMS has continued to propose additional removals in the 2019 proposed rules. In addition, the agency is proposing to add to its ability to remove quality measures in the future.
Back in January, I wrote an article regarding E/M codes and the need for changes to the 1995 and 1997 E/M documentation guidelines. In that article, I suggested making E/M codes for office visits solely time-based to simplify the reporting of these very subjective codes. Little did I know that this is what CMS would propose months later.
