Oct 19, 2020
It’s no secret that achieving fully electronic prior authorization is a challenge, but the potential upside is tremendous—to the tune of $454 million in savings, according to the 2019 CAQH Index Report. On today’s show, Andrew Johnson meets with our special guest from CAQH, April Todd, to shed light on...
Oct 12, 2020
The Protecting Access to Medicare Act (PAMA) requires providers to consult a clinical decision support mechanism when ordering advanced imaging tests. While the CMS has extended the PAMA compliance deadline to Jan. 1, 2022, some providers–such as St. Charles Health System–are wasting no time to ensure...
Jul 16, 2020
Stories of hospital lab early adopters that have successfully implemented third-party decision support
Current events highlight the critical role of the hospital
laboratory as the primary source of diagnostic information. But
legislation such as PAMA (Protecting Access to Medicare Act)
can potentially reduce lab...
Feb 26, 2020
The Protecting Access to Medicare Act (PAMA) becomes mandatory in 2020. It promotes evidence-based medicine by requiring consultation of appropriate use criteria (AUC) when ordering Medicare part B advanced imaging, and evidence of such consultations in order for claims to be paid by the CMS.
On today's podcast, Change...
Feb 17, 2020
Hospital Laboratories Must Think Critically and Evaluate Carefully Before Launching Decision Support Projects
Practicing medicine today is more complex than ever. The menu of diagnostics, medications and treatments available to providers is continually expanding. Standards of care are shifting as guidelines grow and...