{"id":6671,"date":"2019-04-09T08:29:54","date_gmt":"2019-04-09T12:29:54","guid":{"rendered":"https:\/\/systems4pt.com\/staging\/?p=6671"},"modified":"2019-04-09T14:55:40","modified_gmt":"2019-04-09T18:55:40","slug":"cms-2019-final-rule-aims-to-reduce-documentation-time","status":"publish","type":"post","link":"https:\/\/systems4pt.com\/staging\/cms-2019-final-rule-aims-to-reduce-documentation-time\/","title":{"rendered":"CMS 2019 Final Rule Aims to Reduce Documentation Time"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1170px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:30px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h2 style=\"text-align: center;\"><strong>CMS 2019 Final Rule Aims to Reduce Documentation Time<\/strong><\/h2>\n<p>The CMS 2019 final rule announced numerous updates, oriented toward reducing burdensome documentation and improving accuracy for outpatient evaluation and daily visits.\u00a0 This guidance literally changes how you should be documenting evaluations and daily visits.<\/p>\n<p>After adjusting to the new CMS guidance, documentation time for Systems 4PT evaluations has declined by 50% (detail below).\u00a0 And most daily notes are now signed before the patient leaves the practice (note below).\u00a0 Meanwhile, compliance is precisely oriented toward the latest CMS guidelines.<\/p>\n<p>As you\u2019ll see below, there\u2019s a lot to love about these changes.<\/p>\n<p><strong>Initial Evaluation:<\/strong>\u00a0\u00a0 <strong>An Outtake from the CMS\u2019 Final Rule<\/strong><\/p>\n<p><span style=\"color: #008080;\">\u201c . . . for new and established patients for visits, practitioners need not re-enter in the medical record information on the patient\u2019s chief complaint and history that has already been entered by ancillary staff or the beneficiary.\u201d<\/span><\/p>\n<p>Based on this CMS guidance, we have adjusted our evaluation workflow. \u00a0Systems 4PT\u2019s technology data mines our patient intake portal and recommends documentation for the following topics:<\/p>\n<ul>\n<li>Medical History<\/li>\n<li>Patient Concerns and Goals<\/li>\n<li>Prior Level of Function<\/li>\n<li>Employment Status<\/li>\n<li>Impact on Employment or School<\/li>\n<li>Outcome Test Name and Disability Index Score<\/li>\n<li>Defensible Functional Deficits<\/li>\n<li>MIPS BMI Counseling<\/li>\n<li>MIPS Tobacco Counseling<\/li>\n<li>MIPS Diabetes Neuro\/Foot Exam<\/li>\n<li>MIPS Falls Risk Counseling<\/li>\n<li>MIPS Medications, Dosage, Frequency and Route of Intake<\/li>\n<li>MIPS Pain at Best and Worst<\/li>\n<li>Aggravating and Relieving Factors<\/li>\n<li>Functional Goals<\/li>\n<li>Complexities Related to The Patient\u2019s Medical History<\/li>\n<li>Complexities Related to The Exam Findings<\/li>\n<li>Complexities Related to The Patient\u2019s Clinical Presentation<\/li>\n<li>Complexities Related to The Therapist\u2019s Clinical Judgement<\/li>\n<li>Defense of The Selected Eval Code Severity<\/li>\n<\/ul>\n<p>In the blink of an eye, Systems 4PT recommends an average 1,250 patient-specific, MIPS-specific words in each evaluation.<\/p>\n<p>Our workflow is fully-compliant with the 2019 CMS final, rule and lowers your eval documentation time an average:<\/p>\n<ul>\n<li>33 minutes faster than \u201ccheck list EMR\u201d<\/li>\n<li>24 minutes faster if you\u2019re an average typist<\/li>\n<\/ul>\n<h3 style=\"text-align: center;\"><strong>The CMS has given you permission to spend less time typing and more time treating.<\/strong><\/h3>\n<p><strong>Daily Visit Documentation: An Outtake from the 2019 CMS Final Rule<\/strong><\/p>\n<p><span style=\"color: #008080;\">\u201c . . . when relevant information is already contained in the medical record, practitioners may choose to focus their documentation on what has changed since the last visit, or on pertinent items that have not changed, and need not re-record the defined list of required elements if there is evidence that the practitioner reviewed the previous information and updated it as needed.\u201d<\/span><\/p>\n<p>Systems 4PT \u2019s daily notes are now oriented toward tracking progression of the most clinically relevant deficit(s).\u00a0 Real-time integration with prior visits, prior episodes of care, and the patient portal enables you to document a fully compliant daily note in 90 seconds to 2 minutes, meaning:<\/p>\n<p style=\"text-align: center;\"><strong>When the daily visit is over, the note is signed.<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>And when it\u2019s Sunday afternoon, you\u2019re with your family and not with your EMR.<\/strong><\/p>\n<p><span style=\"color: #008080;\">\u201cI\u2019ve treated patients for over 30 years.\u00a0\u00a0 I\u2019m not a computer guy, the whole thing is very intimidating.<br \/>\n<\/span><span style=\"color: #008080;\">But I\u2019ve GOT IT!\u00a0 After watching the training video, the new workflow it just clicked for me.<br \/>\n<\/span><span style=\"color: #008080;\">For the first time in 30 years, I don\u2019t have documentation homework!\u00a0\u00a0 I\u2019ve got it!\u201d<\/span><\/p>\n<p style=\"padding-left: 80px;\"><span style=\"color: #008080;\">&#8212;Russel S., Senior Therapist in a large, multi-state network.<\/span><\/p>\n<p><strong>Takeaways:<\/strong><\/p>\n<ol>\n<li>Systems 4PT cares about your patients<\/li>\n<\/ol>\n<h3 style=\"text-align: center;\"><strong>The CMS has given you permission to treat more and type less.<\/strong><\/h3>\n<p>Spending more time treating maximizes patient progression AND bolsters your reputation as the most hands-on, patient-oriented practice in the region.\u00a0\u00a0 A Win-Win!<\/p>\n<ol start=\"2\">\n<li>Systems 4PT cares about you and your family<\/li>\n<\/ol>\n<p>The rules have changed, but your EMR has not adjusted.\u00a0\u00a0 With Systems 4PT, you can cut your documentation time in half with improved compliance.<\/p>\n<p style=\"text-align: center;\"><strong>The CMS has given you permission to spend nights and weekends with your family,<\/strong><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>instead of with homework.<\/strong><\/p>\n<p><span style=\"color: #008080;\">\u201cWe changed from the big web-based EMR to Systems 4PT.\u00a0 About six weeks later I looked over at my husband on a Sunday afternoon and said, \u201cI just realized that it\u2019s Sunday afternoon and I\u2019m not doing homework!\u00a0\u00a0 There was no homework yesterday.\u00a0 And there isn\u2019t any today.\u00a0\u00a0 It just happened!\u201d<\/span><\/p>\n<p style=\"padding-left: 80px;\"><span style=\"color: #008080;\">&#8212;Melinda S., Practice Owner<\/span><\/p>\n<ol start=\"3\">\n<li>Don\u2019t let slow EMR, negatively impact your life<\/li>\n<\/ol>\n<p>If your car was unreliable and negatively impacted your nights and weekends, you would get a new car.<\/p>\n<p>If your smartphone didn\u2019t work, hurting your nights and weekends, you\u2019d get a new phone.<\/p>\n<p>You should take the same approach with your inefficient EMR.\u00a0 Rather than thinking of catching up on notes from home as \u201cnormal\u201d, tell yourself, \u201c<u>this is unacceptable.<\/u>\u201d<\/p>\n<p><strong>Recommended Next Steps:<\/strong><\/p>\n<p>When you look at yourself in the mirror each morning, tell yourself, \u201cI\u2019m not going to let slow EMR waste my life.\u201d<\/p>\n<p><strong>Then: <\/strong><\/p>\n<p>Take a look at our <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/systems4pt.com\/staging\/half-time-eval\/\"><em><u>documentation videos<\/u><\/em><\/a><\/span>.\u00a0 Watch us document an eval with twice the compliance in half the time.<\/p>\n<p>At your convenience, document a Systems 4PT evaluation on your own computer.\u00a0 Our Hands-On Demo&#x2122; recommends an average 1,250 patient-specific, MIPS-specific words, in the blink of an eye, saving an average 24 minutes per eval.<\/p>\n<p>Take a look at Systems 4PT over lunch, or before or after work.\u00a0 You\u2019ll find our integrated scheduling, EMR, and billing software costs about 35% less than what you spend for your outdated EMR and billing today.<\/p>\n<p>The CMS has given you permission to <strong>Treat More, Type Less<\/strong><strong>&#x2122;<\/strong>.<\/p>\n<\/div><div class=\"fusion-text fusion-text-2\"><h2 style=\"text-align: center;\">Sign up to Learn How You Can<\/h2>\n<h2 style=\"text-align: center;\">Reduce Your Documentation Time<\/h2>\n<\/div>[contact-form-7 id=\"5393\" title=\"Free Demo_copy\"][fusion_blog layout=&#8221;grid&#8221; blog_grid_columns=&#8221;&#8221; blog_grid_column_spacing=&#8221;&#8221; blog_masonry_grid_ratio=&#8221;&#8221; blog_masonry_width_double=&#8221;&#8221; equal_heights=&#8221;yes&#8221; number_posts=&#8221;3&#8243; offset=&#8221;0&#8243; pull_by=&#8221;category&#8221; cat_slug=&#8221;&#8221; exclude_cats=&#8221;&#8221; tag_slug=&#8221;&#8221; exclude_tags=&#8221;&#8221; 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\/]<\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":6676,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[4,56],"tags":[],"class_list":["post-6671","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.4 (Yoast SEO v26.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CMS 2019 Final Rule Aims to Reduce Documentation Time - Systems4PT<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CMS 2019 Final Rule Aims to Reduce 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