2022 hasn’t wrapped up, but it makes sense to be prepared as to what is expected in the next year which can have a vital impact on healthcare organizations in the US. Smart practices will look ahead to the potential changes and updates and also how health plans will change coverage. The upcoming regulatory environment will affect how practices operate during the Biden administration.
2023 Healthcare Mandates
Let’s observe and get familiar with the mandates for 2023 that will be implemented over stages. These include,
- 21st Century Cures Act
- Advancing Clinical Decision Support
- Fee Schedules for Medicare in 2023
21st Century Cures Act
The US government passed the 21st Century Cures Act in December 2016. The aim was to augment the development of medical products and drive innovation as per the U.S. Food & Drug Administration. Patients that require cures and treatment in advance need not wait because of any official barricades.
The rule also covers interoperability, information blocking, and ONC Health IT certification as of April 2021. It is advised to follow updates about the regulatory status. For now, medical practices cannot prevent patients from viewing their health records as it’s against the law. Fines will be implemented if organizations keep these details from individuals who have the right to.
Advancing Clinical Decision Support
Doctors go through rigorous training and sleepless nights of study and research to take confident decision-making for patient diagnosis and treatment. Many innovations in the healthcare sector such as the use of AI technology make Electronic Medical Records (EMR) software even more efficient so providers can rely on them for accurate decision-making taking into account patient medical history.
However, the country is considering how to support the clinician’s decision-making process for the benefit of the health system. Due to this, Healthcare IT News records that to address any gaps between clinical decision support’s potential and existing usage, there will be the implementation of computer-based CDS interventions.
The advancing Clinical Decision Support project will facilitate doctors to make better and more accurate decisions in clinical settings, having benefits for patients and the healthcare sector by improving patient outcome levels. The mandate may get implemented very soon.
Fee Schedules for 2023
It can be expected that the flow of revenue in your healthcare organization may vary because of fee schedules slated for Medicare in 2023.
Also, under the Affordable Care Act Mandate, healthcare organizations that meet requirements for this coverage should continue to give Minimum Essential Coverage to a minimum of 95% of their full-time employees. It is wise to discuss the potential consequences of fee schedules for medical services in 2023 with the accounting department.
