MACRA-compliant EHR Implementation Can Challenge Even the Best Practices

Douglas W. Lundy, MD, MBA, FAOA; Jeffrey M. Goldberg, PT, CMPE

In 2016, the leadership at Resurgens Orthopaedics determined that the electronic health record (EHR) system we were using in our practice was suboptimal in engaging and complying with Medicare Access and CHIP Reauthorization Act (MACRA) requirements. We decided to undergo the exhaustive process of analyzing every EHR available to find the best product for our physicians and employees, and in 2017, we went “live” with our new platform.

Medical Necessity Monopoly: How to Avoid ‘Chance’ and Advance to ‘GO’

Michael Marks, MD, MBA; Karen Zupko

Consider the following: A patient presents to your office complaining of symptoms that indicate a possible herniated disk. A history notes symptoms following the S1 nerve root, and your examination finds right radicular signs. You order an MRI to confirm your findings and proceed to discuss herniated disk surgery with the patient. Is it time to escort the patient to the surgery scheduler? Not yet.