The ACA has implemented in November 2015 not only changes how Medicare is PAID for but how medicine is to be PRACTICED.
Rising penalties will reduce reimbursements.
Patients now can rate their providers Standard of Care performance.
ALL INSURANCE companies are required to pay 100%, with No Copay or Deductible.
Depression and Alcohol Screenings are NOT OPTIONAL they are STANDARD OF CARE.
FEDERAL HEDIS SCORE MANDATES
Physicians are now governed by HEDIS & PQRS Mandates.
2017 all physicians will be under more stringent Value Base Modifiers under MIPS.
Federal Mandates effect every physician who accepts Medicare payments.
Depression & alcohol screens are parts of current PQRS mandates.
Non-Compliant physicians can expect 2%-9% reduction in reimbursements.
IMPROVED PATIENT CARE
The average face to face time a physician spends with a patient is seven minutes.
That is not enough time to recognize, and diagnose emotional problems.
Only 7% of PCP’S are providing their patients screening for depression.
Providers must provide more care in less time and the only way they can is through
the use of screening tools.
BARRIERS TO LITIGATION
61% of physicians 55 years old and older have been sued at least once.
The number one reason — Failure to Diagnose.
PCP’S successfully diagnose major depression symptoms in less than 50% of their patients.
PCP’S must be able to demonstrate and document their performance of a level of
Standard of Care including Depression and Drug Use.
REVENUE ENHANCER
By use of software and technology, Assessments and Annual Wellness Exams are increasing physician
revenue annually by more $100,000.