Tag: M.D.

AMA Releases 2020 CPT Code Set: Updates To Medicine’s Common Language Reflect Tech-Enabled Patient Services

Image result for american medical association logoThe American Medical Association (AMA) announces the release of the 2020 Current Procedural Terminology (CPT) code set containing identifiers and descriptors assigned to each medical, surgical, and diagnostic services available to patients. Trusted since 1966 as the health system’s common language, the CPT code set enables accurate reporting, measurement, analysis, and benchmarking of medical services and procedures across the nation’s entire health care system.

“An annual editorial process draws insight from the entire health care community to produce practical code enhancements to CPT that support advancements in technology and medical knowledge available for the care of patients,” said AMA president Patrice A. Harris, M.D., M.A. “This capacity ensures reliable codes are available for burgeoning tech-enabled services and affirms CPT as the trusted code set for efficiently sharing accurate information about medical services and procedures. That’s why we believe CPT serves both as the language of medicine today and the code to its future.”

There are 394 code changes in the 2020 CPT code set, including 248 new codes, 71 deletions, and 75 revisions. In making these updates, the CPT Editorial Panel considered broad input from physicians, medical specialty societies and the greater health care community.

Among this year’s important additions to CPT are new medical services sparked by novel digital communication tools, such as patient portals, that allow health care professionals to more efficiently connect with patients at home and exchange information. CPT has responded by adding six new codes to report online digital evaluation services, or e-visits. These codes describe patient-initiated digital communications provided by physician or other qualified health care professional (99421, 99422, 99423), or a non-physician health care professional (98970, 98971, 98972).

Other coding additions to CPT were prompted to better support home blood pressure monitoring that aligns with current clinical practice. CPT added codes (99473, 99474) to report self-measured blood pressure monitoring. The goal of these codes is to expand reporting pathways for physicians across the country who take care of a diverse set of patients that have varying degrees of access to care.

“With the advance of new technologies for e-visits and health monitoring, many patients are realizing the best access point for physician care is once again their home,” said Dr. Harris. “The new CPT codes will promote the integration of these home-based services that can be a significant part of a digital solution for expanding access to health care, preventing and managing chronic disease, and overcoming geographic and socioeconomic barriers to care.”

Continue Reading

Four Key HIMSS19 Trends Driving the Next Wave of Healthcare Transformation

By George Mathew, M.D., chief medical officer for the North American Healthcare organization, DXC Technology.

George Mathew, MD

In mid-February, nearly 45,000 health information and technology professionals, clinicians, executives and suppliers gathered to explore healthcare’s latest innovations at the annual Health Information and Management Systems Society (HIMSS) conference in Orlando, Florida.

These “champions of healthcare” examined the greatest challenges facing the industry — including an aging population, chronic disease, a lack of actionable information and increasingly demanding consumers. They also explored how new solutions are being enabled by technologies such as predictive analytics, artificial intelligence (AI), machine learning and telemedicine.

The following four trends drove much of the conversation at HIMSS19 and will continue to shape the next wave of healthcare transformation.

Organizing and innovating around patients

As patients gain access to more information about their health and new technologies empower them to be proactive consumers of healthcare, the industry is focusing on how patients as consumers will drive new models of care. Topics such as patient engagement, patient-centric health information exchanges, personalized care and the consumerization of health were prominent during HIMSS19 learning sessions and conversations around the expo hall.

Continue Reading

The Power of Predictive Analysis in Tackling Non-adherence and Abuse

Guest post by Glen Stettin, M.D., senior vice president, clinical, research and new solutions, Express Scripts. 

In the United States, we spent $325 billion on prescription drugs last year. However, more than $500 billion in additional related spending was wasted on two problematic (and essentially opposite) patient behaviors:

1)      People who should take their medications but don’t. Patients who failed to adhere to their prescribed medication therapy cost the country $317.4 billion in avoidable hospitalizations and other medical costs last year.

2)      People who shouldn’t take medications but do. Prescription drug abuse is deadlier than cocaine and heroin combined. Each year, the U.S. loses between 3 percent and 10 percent of every healthcare dollar spent – as much as $224 billion last year – to fraudulent prescriptions. More importantly, prescription drug overdoses kill more than 15,000 people and result in 1.2 million emergency room visits each year.

Continue Reading