College of Physicians and Surgeons of Ontario’s Post

Pre Auth is an integral part of “managed care” AND there are best practices surrounding how it fits into an overall medical management approach. Its all about validation of medical necessity …. Something that untimately should contribute to better quality of care for members.

𝐃𝐢𝐝 𝐲𝐨𝐮 𝐤𝐧𝐨𝐰? 94% of therapists and physicians face delays in patient care due to prior authorization (PA) issues. 😣 The paperwork, the waiting—it’s all too common, leading to frustration and care disruption. 𝐖𝐡𝐚𝐭 𝐢𝐟... TherapyPM could handle this for you? With streamlined Prior Authorization tracking, therapists are cutting down on delays and giving more time back to their patients. Let us help you put patient care back where it belongs—on time. #TherapySolutions #PriorAuthorization #TherapistSupport #PatientCare

Finding a new provider can be time-consuming and stressful for patients. This is why it's imperative to notfiy your patients if you are leaving or closing your practice. 🔗 Click the link in the comments to learn more tips to make your transition as smooth as possible for patients.

SHARE provides immediate access to up-to-date emergency medical data helping healthcare providers make more informed decisions & leading to better patient outcomes. For instance, having access to vital patient information such as medications administered, vital signs & history during an EMS transport can be crucial during the initial treatment phases in the emergency department (ED). #EMS #emergencyservices #interoperability #emergencyresponse #healthdatautility

This statement from the report doesn't surprise me at all, "About 43 percent of enrollees who received remote patient monitoring did not receive all 3 components of it, raising questions about whether the monitoring is being used as intended." It was only a matter of time. #RPM #HealthcareCompliance #ProviderDocumentation #medicalcoding #medicalbilling

State Health Alliance for Records Exchange (SHARE) provides immediate access to up-to-date emergency medical data helping healthcare providers make more informed decisions & leading to better patient outcomes. For instance, having access to vital patient information such as medications administered, vital signs & history during an EMS transport can be crucial during the initial treatment phases in the emergency department (ED). #EMS #HIE #emergencyservices #interoperability #emergencyresponse #healthdatautility

Is your practice billing remote patient monitoring correctly?

This AppriseMD case study highlights how experienced utilization review physician advisors (PAs) are integral in assessing medical necessity during secondary reviews and payer peer-to-peer discussions, so hospitals can get appropriately reimbursed for services they provide. Not only did the AppriseMD PA suggest the appropriate level of care upfront, but the PA was also able to overturn this one-night hospitalization denial with the Medicare Advantage payer. Read full case study at https://lnkd.in/e2F4_jf8

🚨 Alarming Statistics from the 2023 AMA’s Prior Authorization Physician Survey 🔶 94% of physicians report that prior authorization (PA) delays patient care. 🔶 78% say PA can sometimes or often lead to treatment abandonment. 🔶 24% report that PA has led to a serious adverse event for a patient in their care. 🔶 93% of physicians report that PA has a somewhat or significant negative impact on patient clinical outcomes. These statistics highlight the urgent need for reform in the PA process to protect patient health and improve outcomes. It’s time for physicians to come together and advocate for change! For more in-depth statistics and insights, check out the full report: https://lnkd.in/gJpiadFt #PhysicianAdvocacy #PriorAuthorization #HealthcareReform #PatientCare #DocNation #UniteForChange

The Association of Specialists in Private Medical Practice has voiced its objection to the proposed introduction of a diagnosis-related group pricing system for in-patient hospitalisation. The association said the DRG system, currently used in the US, would impose further restrictions on healthcare providers, aggravating the already capped consultation and procedure fee. Under the Private Healthcare Facilities and Services Act 1998, consultation fees for general practitioners is capped at RM35 and specialists at RM235. The association said exacerbating fee caps could limit the ability of medical specialists to provide quality care. #medicolegal #healthcare #mlsm