Healthcare Regulations, RCM, and Ambient Clinical Voice – A Roundup of Insights from the Medical Practice Excellence Pathways Conference (#MPE21)

This week Colin and I will be participating in the Medical Practice Excellence Pathways Conference that is being hosted virtually by MGMA.  While we all look forward to MGMA’s Leaders conference in person in San Diego later this year, the knowledge sharing at the virtual event today was good.  In fact, I was impressed by the number of healthcare executives that joined the MGMA event virtually and were engaged in the chat that went alongside each session.

As we kickoff our coverage of the event, I thought it would be worthwhile to do a Twitter roundup of some of the tweets we shared while attending the event.  You’ll notice three main themes in our tweets based on the sessions we attended: regulatory updates, revenue cycle management, and ambient clinical voice.  Check out our highlights below.


This is going to be extremely important legislation to watch as we see what the future of telehealth holds.


No surprise a new administration means new priorities. This summarizes the hot ones. The middle one is what’s going to likely impact people the most. It’s also the biggest wildcard on what will actually happen. We’re all just speculating at this point.


These cuts are an important thing to watch for medical practices and obviously an important legislative priority for MGMA. Both will need legislative action before the end of the year.


I did slip into the medical practice merger and acquisitions session briefly and found this slide on the concept of Legal Mergers vs Operational Mergers something worth considering as medical practices figure out their paths forward.


It will be interesting to look at these numbers and some of the other Cares Act numbers in the future to see how important they were to keeping many small practices alive.


A lot of the discussion in this revenue cycle management sessions was on collecting patient payments. There was a strong push for credit card on file. Although, the tweet above highlights another challenge practices are about to face as various co-pays that were waived during COVID go back into effect.


MGMA is known for their medical practice benchmarks. If you’re not using their vast data, then you should. The above is a small look into their denial benchmarks.


I’ll admit I was surprised by this reaction of the panel to this question. As noted in the tweet, maybe they were just trying to be respectful panelists, but it felt like no one wanted to answer this question. Once they did answer, I got the feeling that patients were forcing them into this, but they weren’t really happy with it as a solution. It wasn’t clear why, but I’d like to learn more about what seemed like a hesitancy to me. Seemed like something was afraid to be spoken, but not sure what. Reminded me of the CIO I once heard talk about the cloud who said in a shrill voice, “Well, yeah, we use the cloud, but we don’t want to.”


Definitely a great quote from Shafiq Rab. While true, there’s certainly a balance in every job between what you wanted to be doing and what the job requires. Like most things in life, there’s a balance and most of us probably feel the balance for doctors between patient care and administrative requirements is out of balance.


The demo of ambient clinical voice (or as Nuance prefers, ambient clinical intelligence) was fun to see. Although, we all know that a demo only shows you so much. This podcast on ambient clinical voice we did will give you a better view into the ups and downs of the solution. Plus, it’s worth making it clear that there are still people (similar to scribes) in the background that are ensuring the quality of the documentation that’s produced.

Many people watching the demo probably will assume it’s technology that’s making this happen when it’s actually a mix of technology and people. How quickly Nuance can shift those people to AI is going to be a key thing to watch in the evolution of this solution. As it is, it’s a glorified virtual scribe which is still an improvement over self documentation, but not quite the EHR auto documentation nirvana that we all desire.

About the author

John Lynn

John Lynn is the Founder of HealthcareScene.com, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference, EXPO.health, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.

   

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