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Insights to guide your practice. 

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Annual Wellness Visit Increases Profitability

by Kaitlyn Houseman on July 6, 2013

300% More Revenue Than an Office Visit?

New Technology Greatly Simplifies Medicare Program Requirements

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Topics: Practice Management, CMS

Learn How the New ACA Benefit Leads to Boost in Practice Revenue

by Kaitlyn Houseman on July 1, 2013

The Medicare Annual Wellness Visit Simplified - Free Webinar

Find Out How the Underutilized Program Can Increase Medical Practive Revenue Significantly 

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Topics: Medical Business, Practice Management, CMS

Average 2011 Payment for PQRS and eRX was $935 and $1009 Respectively

by Kaitlyn Houseman on June 24, 2013

This report summarizes the reporting experience of eligible professionals in the PQRS and eRx programs in 2011, historical trends, and preliminary results for the 2012 program year.
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Topics: Incentive Programs

Medicare ePrescribe (eRx) Deadline Approaching This Month

by Kaitlyn Houseman on June 5, 2013

A significant deadline for the Medicare eRx Incentive Program is fast approaching.   This June 30, 2013 deadline affects any provider who submits Medicare Part B Fee for Service (FFS) claims.  Act now to ensure that you avoid the 2.0% payment adjustment (penalty) that would be imposed in 2014. 

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Topics: Practice Management, CMS, PQRS

PQRS and Medicare EHR Incentive Programs Guidance

by Kaitlyn Houseman on May 16, 2013

Guidance for Eligible Professionals: How to Participate in Both the Medicare EHR Incentive Program and PQRS in 2013 and Beyond

Providers who treat Medicare patients and bill for Part B services on the Medicare Physician Fee Schedule (PFS) may be eligible for two incentive programs at CMS: the Medicare EHR Incentive Program and the Physician Quality Reporting System (PQRS) program. CMS encourages you to read more to learn about the opportunity to participate in both.

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Topics: EHR, PQRS, Incentive Programs

Your Peers Have Received EHR Incentive Payments

by Kaitlyn Houseman on May 7, 2013

More than 250,000 physicians and other medical professionals eligible for the federally funded electronic health record incentive payment programs have received payments, according to the latest government data.

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EHR Adoption Leads to Cost Savings in Canada

by Kaitlyn Houseman on April 30, 2013

The increased use of electronic health record systems helped reduce costs in Canada's health care system by about 1.3 billion Canadian dollars -- or about $1.27 billion -- over six years, according to a new study by PricewaterhouseCoopers, EHR Intelligence reports (Bresnick, EHR Intelligence, 4/22).

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Topics: Revenue Cycle Management, Medical Business, Practice Management

eClinicalWorks Mobile EHR Selected by the National Football League

by Kaitlyn Houseman on April 26, 2013

The NFL draft is getting underway, and the league has made a draft choice of its own: It has called on eClinicalWorks to create a mobile electronic health record that will be used by team caregivers to provide real-time access to player videos and information on how to diagnose and treat sports injuries.

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Meaningful Use: Pre-Payment Audits in 2013

by Kaitlyn Houseman on April 12, 2013

It’s not just about demonstrating Meaningful Use in 2013.  CMS will now be performing pre-payment audits in addition to the post-payment Meaningful Use audits.  Before mailing out some bonus checks, CMS says the audits (which will affect 5-10% of incentive applications) will be random and start with attestations submitted during and after January 2013.

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Topics: Medical Business, EHR, Practice Management, CMS, Incentive Programs

Medicare PECOS Edits Begin May 1, 2013 - Claim Denials Possible

by Kaitlyn Houseman on April 6, 2013

Effective May 1, 2013, the Centers for Medicare & Medicaid Services (CMS) will turn on the Phase 2 denial edits. This means that Medicare will deny claims for services or supplies that require an ordering/referring provider to be identified and that provider is not identified, is not in Medicare's enrollment records, or is not of a specialty type that may order/refer the service/item being billed. 
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Topics: EHR, CMS, Affordable Care Act

CMS U-turn on Medicare Advantage Payment Cuts

by Kaitlyn Houseman on April 4, 2013

Medicare Advantage Payments to be Increased Instead of Cut

Medicare Advantage customers need not fear the painful benefit cuts in 2014 as anticipated by Health Insurers. CMS backtracked on plans to cut Medicare Advantage payments to insurers by 2.2% in 2014 and instead decided on a 3.3% increase. 

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Topics: Medical Business, EHR, CMS

Avoiding 2015 PQRS Payment Adjustments

by Kaitlyn Houseman on March 29, 2013


This article provides information on the 2015 PQRS payment adjustment and guidance on how individual eligible professionals and group practices can avoid the 2015 PQRS payment adjustment. Information provided in this article is based on the 2013 Medicare PFS Final Rule.
This article focuses on the PQRS payment adjustment and does not provide guidance for Value-Based Payment Modifier upward adjustment or payment adjustments from other Medicare sponsored programs. See the Additional Information section below for links to the CMS Value-Based Payment Modifier website, and the Medicare and Medicaid EHR Incentive Program website.

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Topics: EHR, CMS, PQRS, Incentive Programs

4 Secrets of the Medical Self-Pay Strategy

by Kaitlyn Houseman on March 5, 2013

With the growing costs of healthcare, patients are required to pay more out of their pockets than ever before!  Medical insurance deductibles and co-payments are on the rise while fewer necessary procedures are covered in-full by many insurance companies.  According to ACA International, 29 percent of adults reported medical debt or trouble paying medical bills, and 16 percent had been contacted by a collection agency for unpaid medical bills.   

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Topics: Revenue Cycle Management, Medical Business, EHR, Practice Management

ACA Provides New Revenue Opportunities to Some Physicians

by Kaitlyn Houseman on March 3, 2013

Why Physicians May Seek Out Medicare Patients Under New ACA Rules

Like clockwork, once again, physicians would have faced a 26.5 percent reduction in the Medicare physician payment rate on January 1, 2013, as a result of the sustainable growth rate (SGR) formula.  Congress has intervened 14 times since 2002 with a stopgap measure to prevent major cuts in physician Medicare reimbursement.  Created as part of the Balanced Budget Act of 1997, the SGR formula and has never been corrected permanently by Congress.

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Topics: Revenue Cycle Management, Medical Business, Practice Management, CMS, Affordable Care Act, Incentive Programs

New EMR Mobile App: healow

by Nicole Laucks on February 15, 2013

healow_icon.pngAs the business of healthcare IT continues to evolve, helping doctors provide access to their patients' continues to be at the forefront of the industry.  Patients are constantly looking for new ways to manage their health while doctors look for new ways to advance patient engagement.  With eClinicalWorks, providers and patients have the opportunity to fill the gap in improving health outcomes. 

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Topics: Revenue Cycle Management, eClinicalWorks, Medical Business, Practice Management

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