In our last edition, we discussed some ways of altering practice models or properly documenting patient care so that we stay within the current MIPS guidelines while continuing to provide the highest quality care. In this edition, we will discuss some of the MIPS guidelines as they pertain to Radiographic studies that are commonly ordered in ER/Urgent Care settings. As always, appropriate documentation as to why, or why not, a test was ordered is crucial not only for MIPS, but from a legal standpoint as well. So, let’s get into it!
Revolution in Healthcare
As we all know, we are in the middle of a Revolution of sorts in Health Care. The practice of medicine is becoming less about the art of medicine and more about the business of medicine. Patient Satisfaction is a major concern, and satisfaction ratings along with Quality measures, such as MIPS, are going to play a large role in how we are reimbursed by insurance payors. And when you look at the MIPS guidelines, one of the first questions that comes to mind is ‘How do I satisfy these requirements while keeping my patients happy’? Well, we are going to go over a few of the common MIPS standards here and how you can meet those standards while providing the care that patients want or expect.
In our society significant emphasis is placed on higher education, specifically the number of levels of higher education. At one point in time, having a high school diploma was sufficient for most professions, and a college degree made you stand out and put you in line for management of some sort. Doctorate level education was reserved for professionals such as Physicians and Dentists, or career academics like college level professors. As more and more people went on to college and obtained degrees, the Bachelor’s degree replaced the High School diploma as the entry level of higher education and the Master’s degree was conferred upon those who sought more advanced training in specific fields and wished to further their careers.
Let’s explore a few areas where just a simple change in our own actions can reap huge benefits for both ourselves and our patients.
The Stress of Hospitals
Emergency departments can be a stressful place, both for patient’s and healthcare providers. Patient’s are often scared, in pain or other distress, and anxious about what is happening to them, and what is about to happen to them. As Providers, we are often caring for multiple sick and/or injured patients who all want one-on-one attention, constant interruption by nurses and other staff, plus keeping things like patient satisfaction and turn-around times in the back of our minds so that we can satisfy administration’s expectation of us. This mixture can easily lead to dissatisfaction by both patients and Providers, which is completely counter to the reasons many of us went into the practice of Emergency Medicine in the first place. It doesn’t have to be like this, and I can show you some ways to help improve everyone’s experience in the ER.