FeldCare Direct’s Post

Before we delve into the intricacies of emergency outpatient treatment, it's essential to establish a clear understanding of what this form of care entails. This section will provide a definition and scope of emergency outpatient treatment, along with an overview of the services offered in this setting.

Important Update for Physical Therapy Practices Starting September 1, UnitedHealthcare (UHC) is expanding prior authorization requirements for follow-up PT visits in office and outpatient hospital settings. This change affects certain plans, but there is some relief for practices that qualify for UHC’s new Gold Card program beginning October 1. Gold Card providers won’t need prior authorization for specific services if they meet evidence-based guidelines. Additionally, UHC’s Optum Healthcare Solutions will require a patient summary form for prior authorization of treatment visits following an initial evaluation for certain plans. This change also takes effect on September 1. The APTA is actively advocating against these new policies and seeking clarifications. Stay informed and voice your concerns to UHC and Optum. For more details, visit UHC’s announcement on Prior Authorization Changes for Outpatient Therapy Services. #Healthcare #PhysicalTherapy #InsuranceUpdates #PriorAuthorization #APTA See which plans are impacted and which are excluded. https://lnkd.in/g5VdXbjr https://lnkd.in/gid832u2

Explore the outpatient treatment of mild dysphagia in Ear, Nose, and Throat clinics. This study delves into effective strategies for managing mild swallowing difficulties, enhancing patient care. #DysphagiaTreatment #MedicalResearch #cureus 🔗 Read More: https://bit.ly/3uBwIjO

The guidelines for coding outpatient records are very clear in the OCG 📖. These guidelines are provided for use by hospitals/providers 🏥 and provider-based office visits🚪. Reporting of secondary and/or chronic conditions are often not reported for outpatient encounters. Omitting and/or failure to report these diagnoses do not paint a complete picture of the patient. Keep reading as we discuss some of the OCG’s for outpatient reporting 📚: https://lnkd.in/e_XAzqf4

We're excited to share our latest article on the Two Person Rule in Outpatient Physical Therapy! This standard, detailed in QUAD A Standard 15-K-9 and aligned with CMS guidelines, maintains patient safety and enhances the quality of care by mandating at least two staff members be on duty during treatment sessions. #QUADA #HealthcareStandards #PatientsFirst #OutpatientCare #PhysicalTherapy #CMSCompliance 

Sg2's 2024 Impact of Change analysis projects that hospital outpatient and ASC volumes will increase 14% over the next 10 years. The only site of care with higher projected growth is home health. Inpatient volume is projected to grow 3% during the period. #outpatient #ambulatory #outpatientsurgery #ambulatorysurgery #ASC #surgerycenter

Effective Sept. 1, 2024, UHC require prior authorization for the following services delivered in multidisciplinary offices and outpatient hospital settings, excluding services in the home: Physical therapy (PT) Occupational therapy (OT) Speech therapy (ST) Medicare-covered chiropractic services (when billed with the AT-modifier) Multidisciplinary practices may encompass settings where physical therapy, occupational therapy, speech therapy and chiropractic care are all provided within a single facility or office. Alternatively, they could refer to individual practices each specializing in a single discipline. Prior authorization is required for the following place of service codes: 11 Office 19 Off-Campus Outpatient Hospital 22 On-Campus Outpatient Hospital 24 Ambulatory Surgical Center 49 Independent Clinic 62 Comprehensive Outpatient Rehabilitation Facility This applies to UnitedHealthcare® Medicare Advantage nationally, excluding Dual Complete Special Needs Plans (SNP). Current prior authorization requirements in Arkansas, Georgia, South Carolina and New Jersey for outpatient therapies continues as previously deployed and will now include Medicare-covered chiropractic services. https://lnkd.in/d_KR4UKi #UHC #UnitedHealthCare #RCM #USHealthCare #AR #Billing #MedicalBilling #Outsourcing

Can't decide between inpatient and outpatient treatment? Our latest blog post offers insights into both options, helping you find the path that aligns with your needs and circumstances. https://sbhc.tech/45kJ25H

Improving outpatient care is a priority for the #NHS, and one important part of how to do that is via patient-initiated follow-up (PIFU) pathways. With our #RSET evaluation of PIFU in the health service published today, Rachel Hutchings assesses the findings and what it could mean for patient care. https://lnkd.in/eeXubsGd

What is patient-initiated follow-up (PIFU) and what could it mean for patient care? Find out more about the findings from our #RSET evaluation, funded by NIHR (National Institute for Health and Care Research).