The system also will help facilitate transition to a new coding system (ICD-10), whose use is currently set to become mandatory on October 1, 2015. ![]() The system is able to learn the preferences of each physician and adapt to them, automatically generate letters to referring physicians, include relevant patient education handouts, and assist with billing. The new system has important features, such as an “eye log” that graphs eye pressure and visual acuity data recorded in patient visits over time, thus eliminating the need for doctors to page back through each individual records to track specific data. Modernizing Medicine Healthcare IT Suite offers an intuitive data-driven, multiple specialty Electronic Medical Records Software (EMR) Software called EMA. “This is a powerful system that will ultimately improve efficiency, communication and overall patient care." The system reduces need for paper and scanning, enables automatic delivery of patient information and records, and reduces the possibility of lost charts. Patient information can be exchanged between EMA and the Emory-based system through Emory’s health information exchange (HIE), a system that serves to provide accurate data and a large capacity to mobilize electronic information in a secure and regulatory-compliant network. The system is fast, mobile, and cloud-based and enables physicians to access records via multiple devices, from tablets to desktop computers. The team carefully evaluated ophthalmology products in the marketplace and eventually chose a product called Modernizing Medicine’s EMA (electronic medical assistant) Ophthalmology. “We could not fulfill those requirements in ophthalmology using the hybrid system,” Hutchinson says. Hastening the need for implementation of an ophthalmology-specific EMR was a new federal mandate, passed in 2009, requiring that physicians attest to “meaningful use” of EMRs by 2015 or face penalties and the imminent launch of ICD-10. When Emory Healthcare initially entered the world of electronic medical records in 2008, Emory ophthalmology staff modified existing EMR digital records by scanning and uploading handwritten notes, images, and other hard-copy documents at the end of each day, a tactic that was impractical and unsustainable over the long term. These elements were needed to begin building a database for health care analytics, centered on providing quality care, feedback for self-assessment, and risk-stratified data to benchmark outcomes. ![]() The system also needed to track discrete data elements from each exam, as well as diagnosis and treatment plans. The software had to interface with Emory Healthcare’s existing EMR platform and required additional functionality to include drawings, photography, visual acuity testing, prescription information for glasses or contact lenses, and other ophthalmology-specific records. Because of the proliferation of EMR technology on the market and the unique needs of a large eye center like Emory’s, the task required substantial time and effort. ’93-96) volunteered to represent ophthalmology faculty on a small task force almost two years ago, she and others were charged with identifying an ophthalmology-specific electronic medical record (EMR) for the Emory Eye Center. Providers should continue to review their contracts with commercial payors and seek updated guidance from such payors to understand whether they will similarly be loosening their reimbursement requirements and what restrictions, limitations or rules will apply.When pediatric ophthalmologist Amy Hutchinson (ophthalmology pathology fellow ’92-93 res. To keep up-to-date on the guidance that has been issued by CMS in connection with this public health emergency, please visit CMS’s Coronavirus Waivers and Flexibilities resource page found here. CMS maintains a list of services that may be furnished via telehealth, which should be referenced to determine what services will be reimbursed if provided to Medicare beneficiaries under this new guidance. This new guidance temporarily lifts restrictions that have historically limited coverage of telemedicine to services provided to residents of rural areas and generally permits services to be provided to both new and established patients. This new rule, combined with prior guidance, makes clear that healthcare professionals can provide and bill, and CMS will reimburse, for a variety of telemedicine services for Medicare beneficiaries residing across the country from a range of locations, including their homes. Although the rule was published this week, all of the changes made in the rule were made effective retroactive to March 1, 2020. Full details of the changes can be found here. On March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released an Interim Final Rule that makes a number of changes intended to further support the provision of services to patients during this Public Health Emergency.
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