The Treatspace Referral Management Blog

Insight, ideas, and resources for high-performance referral management

MIPS Reimbursement Benefits of Closing the Referral Loop

Posted by Christian Kratsas on 6/5/17 2:47 PM

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Sizable regulations enforced upon physician groups are holding practice executives to a glowing screen late nights and through the weekend. Practices are dedicating substantial hours and personnel to determine which value-based initiatives to focus on in the coming years in order to remain profitable.

One thing that remains true is that physicians who bill Medicare more than $30,000 in Part B  and provide care for more than 100 Medicare patients a year are subject to the Quality Payment Program (QPP) of MIPS or APMs under CMS’s MACRA reimbursement regulations. Several details including practice structure, size, and reporting capabilities, will determine the category under MACRA in which it applies. 

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Topics: Closed-Loop Referrals, MACRA, Referral Automation, Automated Referral Management, MIPS, CMS

Improving Operations and Reducing Workflow Burden with Automated Referral Management

Posted by Christian Kratsas on 6/1/17 6:28 PM

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Inefficiencies in the patient referral process plague practices by increasing the administrative burden on providers and front-office staff. Internests and family practicioners dedicate nearly 20% of their time to administrative tasks1 while practice managers and medical receptionists can waste up to 30 minutes on the phone chasing down patient information2. According to a paper in the International Journal of Health Services, "more extensive use of electronic medical records [is] associated with a greater administrative burden."

Disconnected practices are struggling to exchange clinical information and communicate securely without interruptive phone calls and faxes. Referral partners on different EHRs are left with lackluster options, such as sending transitions of care and last office notes into a Direct Secure Messaging void with hopes of receiving a consult report back.

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Topics: Closed-Loop Referral Management, Referral Workflow, Referral Automation

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