After taking the time to diligently document and report your Merit-based Incentive Payment System (MIPS) measures and activities, it is important to review your Performance Feedback Report detailing the category scores for your MIPS data submission. The scores provide you with payment adjustment information (excluding voluntary submitters) and details about measures and activities. Clinicians participating […]
Merit-based Incentive Payment System 2019: Promoting Interoperability Details and Measures
In the February 2019 Practice Points column, Merit-based Incentive Payment System 2019 Changes, we reviewed the final changes to the 2019 Quality Payment Program Final Rule1 under the Medicare Access and CHIP Reauthorization Act of 2015 released by the Centers for Medicare & Medicaid Services (CMS). In this column, we will focus on the Promoting […]
Misdiagnosis of Wounds
Wound healing is a complex process that uses specific cellular and biochemical actions to achieve wound closure. These processes (homeostasis, inflammation, proliferation, and maturation) occur over defined periods of time. They are often taken for granted as the wound innately granulates, contracts, and epithelializes under optimal conditions. A wound begs the clinician’s attention when the […]
Wound Care Workflow Analysis and Design
The most critical step to a successful specialty electronic health record (EHR) implementation is conducting workflow analysis. In addition, smart workflow synchronization with your specialty EHR is key to driving compliance within your wound care department. Hear from Cathy Thomas Hess, BSN, RN, CWCN, as she details the importance and benefits of workflow analysis and design for […]
Merit-based Incentive Payment System: 2019 Changes
Terminology Changes The CMS has created new MIPS terminology that more accurately reflects how clinicians and vendors interact with the QPP, namely MIPS. The new MIPS terms include Collection Type, Submitter Type, and Submission Type. Collection type: a set of quality measures with comparable specifications and data completeness criteria including, as applicable, electronic clinical quality […]
2019 Checklist: Organizing Your Department for the New Year
Welcome to 2019! Launching into a new year brings an opportunity to review the work plan created and implemented by you and your team. The underpinning for the work plan must reside in the data collected within the medical record. The medical record demonstrates the clinician’s ability to plan, coordinate, and evaluate patient care. Proper […]
Review, Reconcile, and Optimize Your Workflows
The end of the year is a perfect time to reflect on processes implemented in the past year and look forward to improving processes in the new year. One key process is workflow optimization. Workflow is a set of chronological, organized processes and tasks designed to efficiently meet a goal through interaction with people and […]
Merit-based Incentive Payment System 2018 Documentation and Audit Checklist
Reporting your 2018 Merit-based Incentive Payment System (MIPS) documentation is just around the corner. This column reviews the documentation requirements and data validation and audit criteria. This checklist is not exhaustive. Ultimately, it remains your responsibility to create your own audit checklist to meet your practice needs. The Centers for Medicare & Medicaid Services (CMS) […]
Recommended Sessions with Cathy Hess: SAWC Fall 2018
This year’s SAWC fall meeting is November 2-4 in Las Vegas, Nevada at Caesar’s Palace, and I’m excited about this year’s speakers and their presentations. While having the opportunity to learn during sessions, remember, learning continues in the Exhibit Hall and during the Poster Presentations. Explore the skin and wound care products in the Exhibit […]
Wound Care Medical Record Documentation
The goal of documentation is to provide the highest possible degree of clinical specificity to ensure accurate interventions and diagnosis as well as to adequately demonstrate medical necessity for the services rendered and substantiate the billed services. Let’s review components of skin and wound documentation that may comprise your medical record. Chief Complaint The chief […]