OPAT tracking: the pump decides which Medicare benefit you are in
OPAT tracking sits across three Medicare benefits, and which one applies turns on whether the drug goes through a pump. Payment attaches to visit days, not to therapy days.
Ryan White reporting: the identifier that breaks when a name is corrected
Ryan White reporting runs on a hashed client identifier built from name, date of birth and sex at birth. Correct any of those in the chart and the identifier changes.
Spirometry data in the EHR: two rules that now contradict each other
Spirometry data in the EHR now sits across a genuine conflict: the clinical standard moved to race-neutral interpretation while one OSHA rule still requires race-specific values.
Asthma biologic coordination: the label sets no observation clock
Asthma biologic coordination runs on three facts practices get wrong: the label sets no observation duration, the prior authorization rule excludes drugs, and none of these products carries a REMS.
Asthma action plans in the EHR: the 2020 update did not cover them
An asthma action plan EHR template traces to the 2007 expert panel report, not to the 2020 update, which covered six topics and said it did not address education or control assessment tools.
Allergy shot room workflow: 30 minutes, and what the record must hold
An allergy shot room workflow runs on a 30-minute observation period, not 20. And because no uniform protocol exists for gaps in treatment, the thresholds have to be configurable.
Disease activity assessment EHR: which tools the quality measures accept
A disease activity assessment EHR build fails when it hard-codes one instrument. CMS accepts five for rheumatoid arthritis, three for functional status, and an open list for depression screening.
Chiropractic Medicare documentation: what the AT modifier does not prove
Chiropractic Medicare documentation rests on two facts most practice policies state incorrectly. The AT modifier does not by itself make a visit payable, and a chiropractor cannot opt out of Medicare.
Opioid treatment agreement EHR: tracking consent and compliance
An opioid treatment agreement EHR workflow is a record-keeping question, not a clinical one. CDC does not require the agreement at all, and the rules that do bind run on three different clocks.
Nephrology lab flowsheet EHR: trending creatinine and GFR without chart diving
A nephrology lab flowsheet EHR build turns scattered results into a trend. Kidney disease is found in a slope, not a single value, and most charts only store the value.