Brian Maher on April 5, 2012 |
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Topics: Cardiovascular, Service Lines, Imaging, Appropriateness, Quality, Performance Improvement, Evidence-Based Practice, Methodologies, Accountable Care, Market Trends, Strategy
As part of the Choosing Wisely initiative spearheaded by the American Board of Internal Medicine (ABIM) Foundation, nine professional societies have jointly released a list of 45 tests and procedures deemed to be of little or no clinical value. Reported in the Daily Briefing, Choosing Wisely is a multi-year initiative that aims to reduce the use of unnecessary medicine and increase dialogue between patients and physicians in selecting the most appropriate test or therapy for a given patient’s condition.
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CV imaging ranks highly among unnecessary procedures
on January 13, 2012 |
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Topics: Cardiovascular, Service Lines, Appropriateness, Quality, Performance Improvement, Evidence-Based Practice, Methodologies, Accountable Care, Market Trends, Strategy
Megan Tooley
In response to growing evidence of waste and unnecessary utilization in the health care system, the ABIM Foundation has partnered with nine medical societies and Consumer Reports to identify and reduce inappropriate use as part of its new Choosing Wisely campaign. By identifying the tests and procedures that are most likely to be overused or misused, the initiative hopes to engage hospitals, physicians, and patients in reducing inappropriate care.
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Medical societies unite in campaign to reduce inappropriate use
Brian Maher on January 11, 2012 |
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Topics: Cardiovascular, Service Lines, Appropriateness, Quality, Performance Improvement, Evidence-Based Practice, Methodologies, Accountable Care, Market Trends, Strategy, Payer and Regulatory Policy, Utilization Review, Payer Relations, Reimbursement, Finance, RAC and Other Post-Payment Audits, Revenue Cycle
Several weeks ago, the Centers for Medicare and Medicaid Services (CMS) announced the scheduled January 1, 2012 launch of the Recovery Audit Prepayment Review demonstration project to improve payment accuracy for select inpatient services. The project is designed to conduct prepayment reviews to ensure medical necessity is documented and services are justified before receipt of payment for services rendered.
Although CMS recently clarified its policy by outlining the DRGs under consideration and timelines for implementation, the agency has now delayed implementation of the project altogether amid significant controversy and questions regarding the project’s scope and structure.
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CMS clarifies, then delays, prepayment review demonstration
