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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

CMS Announces New Educational Initiative to Raise Awareness of Chronic Care Management

by Kaitlyn Houseman on March 15, 2017

Today, the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) and the Federal Office of Rural Health Policy at the Health Resources and Service Administration (HRSA) introduced Connected Care, an educational initiative to raise awareness of the benefits of chronic care management (CCM) services for Medicare beneficiaries with multiple chronic conditions and to provide health care professionals with support to implement CCM programs.

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Topics: CMS, Value-Based Reimbursement

HIMSS17 Highlights and Quality Payment Program Presentations Now Available

by Kaitlyn Houseman on March 9, 2017

Not able to attend the HIMSS conference this year? No worries. We've put together a list of some highlights from the conference and some newly posted resources from CMS that provide even more information on one of the many hot topics this year at HIMSS, the Merit-based Incentive Payment System.

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Topics: Medical Business, Practice Management, Health IT

Top 5 Practice Management Challenges and Their Solutions

by Keith Lage on March 8, 2017

While it's estimated that practices in the U.S. lose $125 billion each year due to poor medical billing operations, the challenges of practice management expand far beyond revenue cycle management. Here, we'll discuss the top 5 practice management challenges and provide resources and solutions that can assist in overcoming them.

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Topics: Revenue Cycle Management, Practice Management

5 Step Guide: Top Ways to Increase Patient Payments and Boost Practice Revenue

by Kathy Kuhn on March 1, 2017

Patient payments are a vital part of revenue cycle management, but when patients fail to take financial responsibility, doctors and their practices take a hard hit. In fact, according to a report from the American Hospital Association —  since 2000 —  U.S. hospitals have provided more than $502 billion in uncompensated care expenses. More patients are paying higher out-of-pocket costs for medical care expenses than ever before. Here are top ways your practice can increase patient payments that boost your practice's revenue.

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Topics: Revenue Cycle Management, Patient Pay

A Cheat Sheet to the Merit-Based Incentive Payment System [Infographic]

by Jeff Jones, CPHP on February 17, 2017

Are you eligible for MIPS? With 2017 being the first performance year, it's imperative that you know how the Merit-based Incentive Payment System could affect your revenue cycle management.  We put together a cheat sheet to help you understand your participation options with MIPS in 2017 and the financial impact it could have on your revenue cycle in the coming years.

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Topics: Merit Based Incentive Payment System, Incentive Programs, MACRA

Important Upcoming CMS Deadlines

by Kaitlyn Houseman on February 16, 2017

CMS has extended the attestation deadline for providers participating in the Medicare EHR Incentive Program to Monday, March 13, 2017, at 11:59 p.m. PT. As a quick reminder, if you received a letter from CMS that said you are subject to the 2017 Medicare EHR payment adjustment and you believe this payment adjustment is in error, you must submit a reconsideration application for the 2017 payment adjustment by February 28, 2017. Here are more details and resources on both of these upcoming deadlines.

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Topics: CMS, Incentive Programs

5 HIPAA Items that Practices Should Focus on in 2017

by Jim Johnson on February 15, 2017

With all the recent turbulence in healthcare surrounding Meaningful Use, ICD-10 and now the transition to the Merit-based Incentive Payment System, HIPAA has flown under the radar, in a sense, for some practices. However, in 2017 it's important that practices make HIPAA compliance a priority. Here are five things we covered in a recent webinar on what all practices should focus on in regards to HIPAA compliance in 2017.

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Topics: HIPAA

CMS Extends Meaningful Use Attestation Deadline

by Kaitlyn Houseman on February 9, 2017

The Centers for Medicare & Medicaid Services (CMS) has extended the attestation deadline for providers participating in the Medicare EHR Incentive Program to Monday, March 13, 2017, at 11:59 p.m. PTProviders participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by March 13, 2017 to avoid a 2018 payment adjustment. 

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Topics: CMS, Incentive Programs

4 Common Mistakes that Lead to High Accounts Receivables

by Ricki Ransom on February 7, 2017

Now more than ever, physicians need to closely monitor the impact health insurance plans have on their revenue cycle management.  The hard truth is, high AR is an indicator that RCM performance improvements should be made in your practice immediately. So what are the red flags you should look out for to lower your practice's AR? 

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Topics: Revenue Cycle Management

How Trump's Executive Order Impacts the Future of the Affordable Care Act

by Kaitlyn Houseman on January 26, 2017

President Donald Trump signed an executive order Friday aimed at lessening the economic burden of the Affordable Care Act (ACA) as lawmakers work on a repeal and replacement plan. Here's what healthcare experts are saying about the impact of the executive order on the Affordable Care Act.

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Topics: Affordable Care Act, Healthcare Policy

Medicare EHR Incentive Program Registration and Attestation System Now Open

by Kaitlyn Houseman on January 18, 2017

The Centers for Medicare & Medicaid Services Registration and Attestation System is now open. Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by February 28, 2017 at 11:59 p.m. ET in order to avoid a 2018 payment adjustment.
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Topics: CMS, Incentive Programs

A Beginners Guide to the Merit Based Incentive Payment System (MIPS)

by Jeff Jones, CPHP on January 16, 2017

As of January 1, 2017, the first performance period for the new Merit-based Incentive Payment System (MIPS) is officially underway for eligible physicians. The new payment system aims to change how physician services are paid by moving away from fee-for-service payments to performance-based payment adjustments. Depending on the data you submit by March 31, 2018, your 2019 Medicare payments could be adjusted up, down, or not at all.

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Topics: Merit Based Incentive Payment System, MACRA

How Physicians Can Successfully Negotiate Insurance Contracts

by Ricki Ransom on January 10, 2017

Payer contracts represent a significant amount of physician revenue and should be evaluated with careful scrutiny. Physicians who fail to negotiate with payers or gain a clear understanding of insurance contracts risk presenting a financial blow to their medical practice.

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Topics: Credentialing

CMS Publishes Update on Electronic Clinical Quality Measure (eCQM) Value Sets for 2017 Performance Period

by Kaitlyn Houseman on January 9, 2017

The Centers for Medicare & Medicaid Services (CMS) and the National Library of Medicine (NLM) has published an addendum to the 2016 eCQM specifications (published in April 2016). This addendum updates relevant International Classification of Diseases (ICD)-10 Clinical Modification (CM) and Procedure Coding System (PCS) eCQM value sets for the 2017 performance year.

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Topics: CMS

New CMS Study Helps EPs Receive Full Credit in MIPS CPIA Category

by Jeff Jones, CPHP on January 5, 2017

Worried about participating in the Merit-based Incentive Payment System? CMS is conducting a Clinical Practice Improvement Activities (CPIA) Study that can help you meet the CPIA requirement. Individual clinicians and groups who are eligible for MIPS that participate successfully in the study will receive full credit for the Improvement Activities performance category. Applications for the study will be accepted from January 1 – 31, 2017.

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Topics: CMS, Merit Based Incentive Payment System, MACRA

4 Ways Small Practices Can Best Prepare for Value-Based Care

by Jeff Jones, CPHP on January 3, 2017

When it comes to government regulations and health care, change is inevitable. In contrast to the current fee-for-service care, the value-based care model aims to compensate physicians for high-quality service, clinical performance, and patient satisfaction. It's an exciting time for the future of healthcare, and small practices are uniquely situated to thrive in the transition to value-based care.

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Topics: Revenue Cycle Management, Value-Based Reimbursement, MACRA

10 Most Popular GroupOne Health Source Posts of 2016

by Kaitlyn Houseman on December 30, 2016

What a year it has been! Thank you to all of our readers for your continued support and readership. This year, our blog subscribers doubled and we celebrated 25 years of helping practices overcome some of the most difficult healthcare reimbursement challenges. We're looking forward to another great year and will continue to publish helpful content that helps your practice succeed in a rapidly changing healthcare reimbursement environment. But before we head into 2017, let's take a look back at some of our most popular posts from 2016.

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Topics: Revenue Cycle Management, Practice Management

How to Pick Your Pace for the Quality Payment Program

by Jeff Jones, CPHP on December 28, 2016

With 2017 upon us, many practices are scrambling to understand the Quality Payment Program final rule. The final rule was published on October 14, 2016 with CMS making significant revisions to the proposed rule. In the final rule, CMS increased the flexibility of the Medicare Access and CHIP Reauthorization Act (MACRA) by introducing an option-based implementation plan, titled “Pick Your Pace,” which allows providers to ease into MACRA for the 2017 reporting year.

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Topics: Merit Based Incentive Payment System, MACRA

2015 Performance Scores Released on Physician Compare Website

by Jeff Jones, CPHP on December 21, 2016

The Centers for Medicare and Medicaid Services (CMS) has recently released new quality data on the Physician Compare website, which includes 2015 Physician Quality Reporting System (PQRS) performance scores for group practices, individual physicians and other clinicians, and Accountable Care Organizations (ACOs), as well as non-PQRS Qualified Clinical Data Registry (QCDR) data for individual clinicians. Here's what this means to your practice.

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Topics: PQRS, MACRA

New Year, New Codes: 2017 CPT Code Changes Now Available

by Toshya Griffin, CPC on December 20, 2016

2017 is just around the corner and with it comes a number of new CPT codes, deleted codes, and code revisions. The updates made enable providers to get paid for some work that is already being done while other updates remove barriers to providing certain services such as Chronic Care Management.

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Topics: Revenue Cycle Management, Coding