PayrHealth and DocSpera Form Partnership to Enhance Ambulatory Surgery Centers' Compliance and Patient Care
In an innovative move within the healthcare sector, PayrHealth, a recognized leader in Complete Payor Management solutions, has partnered with DocSpera, an advanced surgical coordination platform. This collaboration aims to assist Ambulatory Surgery Centers (ASCs) in accommodating the evolving requirements mandated by the Centers for Medicare & Medicaid Services (CMS) to enhance patient outcomes reporting.
Starting in 2027, CMS will require that at least 45% of Medicare patients undergoing certain procedures, such as total knee and hip replacements, report their outcomes. This will include necessary follow-ups at various intervals, requiring ASCs to document pre-operative data, interim progress, and results one year post-surgery. The implementation of these requirements will necessitate advanced planning and increased data collection efforts by ASCs to avoid penalties and ensure compliance.
To address these new demands effectively, the newly formed partnership will deliver a comprehensive, automated solution. This system will allow ASCs to integrate seamlessly with Electronic Medical Records (EMR) to identify eligible Medicare patients. The patient experience will be enhanced through intuitive, text-based surveys and mobile tools, eliminating the need for patients to download additional applications. This experience aims to increase participation and ensure accurate data collection.
One key feature of the solution is the tracking of patient-reported outcomes over various timeframes, such as 30, 60, 90 days, and one year. This systematic approach will help demonstrate clinical improvements while simultaneously enhancing patient engagement. ASCs can also automate reporting directly to CMS, lightening the administrative load on healthcare staff.
Moreover, by leveraging the collected outcome data, ASCs will be equipped to perform quality benchmarking, which can strengthen negotiations with commercial payors, thereby improving reimbursement terms for healthcare providers.
Samuel Ethiopia, CEO of DocSpera, highlighted that the change mandated by CMS signifies a critical transition in patient outcome tracking. He cautioned that centers delaying the data gathering until the deadline will find themselves in an untenable position. The key to success lies in starting early, establishing benchmarks, and streamlining workflows to comply with the new requirements.
Armando Cardoso, CEO of PayrHealth, echoed these sentiments, stating that this partnership reflects both companies' commitment to guiding healthcare providers through complex financial and regulatory landscapes. By integrating their respective strengths in automation and payor relations, they aim to deliver solutions that will alleviate compliance risks while bolstering efficiency in healthcare delivery.
As ASCs prepare for these upcoming changes, this strategic partnership between PayrHealth and DocSpera emerges as a beacon of support, poised to help healthcare providers not only meet compliance standards but also thrive in a rapidly changing healthcare environment. Through technological integration and a concerted focus on patient outcomes, both companies are setting a precedent for how quality healthcare can be delivered efficiently and effectively.
Starting in 2027, CMS will require that at least 45% of Medicare patients undergoing certain procedures, such as total knee and hip replacements, report their outcomes. This will include necessary follow-ups at various intervals, requiring ASCs to document pre-operative data, interim progress, and results one year post-surgery. The implementation of these requirements will necessitate advanced planning and increased data collection efforts by ASCs to avoid penalties and ensure compliance.
To address these new demands effectively, the newly formed partnership will deliver a comprehensive, automated solution. This system will allow ASCs to integrate seamlessly with Electronic Medical Records (EMR) to identify eligible Medicare patients. The patient experience will be enhanced through intuitive, text-based surveys and mobile tools, eliminating the need for patients to download additional applications. This experience aims to increase participation and ensure accurate data collection.
One key feature of the solution is the tracking of patient-reported outcomes over various timeframes, such as 30, 60, 90 days, and one year. This systematic approach will help demonstrate clinical improvements while simultaneously enhancing patient engagement. ASCs can also automate reporting directly to CMS, lightening the administrative load on healthcare staff.
Moreover, by leveraging the collected outcome data, ASCs will be equipped to perform quality benchmarking, which can strengthen negotiations with commercial payors, thereby improving reimbursement terms for healthcare providers.
Samuel Ethiopia, CEO of DocSpera, highlighted that the change mandated by CMS signifies a critical transition in patient outcome tracking. He cautioned that centers delaying the data gathering until the deadline will find themselves in an untenable position. The key to success lies in starting early, establishing benchmarks, and streamlining workflows to comply with the new requirements.
Armando Cardoso, CEO of PayrHealth, echoed these sentiments, stating that this partnership reflects both companies' commitment to guiding healthcare providers through complex financial and regulatory landscapes. By integrating their respective strengths in automation and payor relations, they aim to deliver solutions that will alleviate compliance risks while bolstering efficiency in healthcare delivery.
As ASCs prepare for these upcoming changes, this strategic partnership between PayrHealth and DocSpera emerges as a beacon of support, poised to help healthcare providers not only meet compliance standards but also thrive in a rapidly changing healthcare environment. Through technological integration and a concerted focus on patient outcomes, both companies are setting a precedent for how quality healthcare can be delivered efficiently and effectively.
Topics Health）
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