Healthcare continues to transition toward a value-based, pay-for-performance system, but there’s still confusion surrounding the different quality and value programs that have been introduced by CMS and how they impact hospitals. Clear up the confusion and put your organization on the path to success.
Q: How should we handle canceled inpatient-only procedures? Are these are still coded to the full intended procedure under OPPS and modified with a -73 or -74 modifier? Most of these cases result in changed orders to outpatient due to the patient being discharged the same day. Can the original inpatient order be used?
Patients are getting emboldened in the digital age and want quicker, more efficient—immediate, really—access to medical records. Further, the government is reinforcing existing regulations and creating new rules around data sharing that require entities to make healthcare records more accessible and deliver records to patients in their desired electronic format. Technology innovation has made this much easier for healthcare facilities to accomplish.
