Becker's Spine Review

beckers-March-2023-spine-review

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21 EXECUTIVE BRIEFING 3 EXECUTIVE BRIEFING Expanding the definition of low-risk treatment plans The latest guidance from NGS Medicare, the AMA and the American Academy of Pediatrics shows it's time to expand the definition of low-risk treatment plans. There is currently no distinction between "minimal" and "low" risk of complications and/or "morbidity" or "mortality" of patient management. Together with our orthopedic partners, we at Robin are eliminating confusion and creating better consistency in our documentation. Going forward, low-risk treatment plans should include all items that require minimal discussion and/or patient consent to improve compliance with the latest guidance and achieve a more accurate E/M. For example, these plan items would now be considered low risk under this expanded definition: • Imaging orders • X-rays • MRI with contrast • MRI without contrast • Lab orders • Comprehensive metabolic panel • Hemoglobin A1C • Complete blood count • Diagnostic studies • Electromyography • Electrocardiogram • Nerve conduction study • Other plan items • Chiropractics • Massage • Physical therapy • Occupational therapy • Durable medical equipment Putting your new coding knowledge into practice When it comes to medical coding, there are always more complexities to cover, but hopefully knowing how to navigate these common issues will help you document them in the future. Keeping up with the latest distinctions and definitions is clearly a challenge in its own right, but so is putting those changes into practice. You have to tweak your finely-tuned routine, which often results in spending more time in the EHR documenting and asking yourself even more questions until eventually the change becomes second nature. That is, until there's another change. At Robin, we're reimagining how documentation gets done to truly eliminate the burden of administration for orthopedics. We hear from practices every day that documentation is burning out physicians and revenue cycle teams. That's why we created our one-of-a-kind smart device, the Robin Assistant™. The Robin Assistant records all the audio and video from the exam room, so we're able to develop complete notes and codes for all your patient visits on your behalf behind the scenes. We then deliver all your documentation directly to the EHR for your review and signature. Unlike any other documentation solution, Robin also focuses exclusively on supporting orthopedists. Our coding algorithm is always up to date with the latest payer rules for orthopedics, and our team behind the scenes is trained to document all the coding nuances and more. We also work very closely with your clinical staff and revenue cycle teams to ensure there is great collaboration and support for your practice at every step. Visit robin.co to discover how Robin can streamline documentation across your entire practice and allow you to focus completely on patient care.

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