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Ingenious Med’s intelligent code filtering and favorites lists help physicians code encounters correctly up front, lightening the load on billing and coding teams when the charge comes to them. A large medical group in Texas has used Ingenious Med to help prevent burnout among practice managers and coordinators by integrating the ADT (patient demographics and payor information) and DFT (billing data) feeds with its EHR to decrease the need for manual coding. The platform’s electronic superbills can be customized by administrators, who can use focused lists of codes and code bundles plus optional default modifiers to combine each practice’s preferred terms with specialty-specific CPT and diagnosis codes. In addition to delivering an easy-to-learn and use tool that doesn’t require intensive training, Ingenious Med’s prompt and ongoing support was essential for a large emergency physician group in Michigan to ensure that all its many user types in numerous locations adhered to quality assurance best practices.

If your facility’s ZIP code was on the FEMA federal disaster area list during 2020 (due to wildfires or hurricanes, for example), you will automatically qualify for an Extreme and Uncontrollable Circumstances exception for 2020 MIPS participation. However, if the COVID-19 public health emergency adversely affected your MIPS performance in 2020, you must apply to CMS for a pandemic-related reporting exception. For example, a clinician submitting data for two MIPS categories after receiving an automatic EUC exception will effectively waive their exception and become subject to MIPS payment adjustments once again. CMS typically notifies applicants for pandemic-related exceptions via email within a few days of receiving their request, but the QPP Participant Lookup Tool will display EUC status regardless of whether it is related to a requested exception or an automatic one.

Furthermore, when emergency departments are caring for COVID-19 inpatients while short-staffed, having intuitive software that helps physicians quickly and accurately record the care they provided can improve the organization’s billing efficiency and increase revenues. With automatic tools like Ingenious Med’s MasterCoder, you will improve coding speed, accuracy and compliance while reducing coder workload and denials and avoiding additional administrative burden. Leaders at leading physician practices and at a major southwestern health system use automated COVID-19 identifiers and trackers developed by Ingenious Med to frequently update infected patient volumes by location. Modify physician compensation models to reflect the reality of caring for COVID patients After many places experienced significant reductions in procedural and surgical revenues this spring and summer, the resurgence of the virus this fall is creating a sense of deja vu.

To address this increase, our panelists recommended having a comprehensive self-pay strategy that can identify which patients will need to pay out-of-pocket for some (or all) of their care, as well as tools that estimate patient costs upfront. Ideally, organizations should also make their charges more transparent and enable patients to pay online and take advantage of financing options like medical credit cards that allow them to spread payments out over time. Dr. Deruelle and Mr. Perkins noted that having a shared mobile charge capture solution at the point of care helps ensure timely and accurate documentation of all services rendered, including making it easy for physicians to capture any comorbidities with ready access to diagnostic codes in their specialty. APP also used the Ingenious Med solution to help physicians capture charges for unfamiliar types of services – from virtual visits to critical care – and identify missing bills on a daily basis so they could remind the appropriate physician to enter missing charges.