HHS is planning to reform HIPAA and 42 CFR Part 2 in an effort to improve care coordination. In remarks to the Heritage Foundation July 26, HHS Secretary Alex Azar conveyed that HHS is starting a review of regulations that interfere with coordination among doctors, hospitals, and payers.
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.
CMS’ 2019 OPPS proposed rule, released in late July, continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments.
