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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

House Passes Measures to Repeal and Replace the Affordable Care Act

by Kaitlyn Houseman on May 4, 2017

The House on Thursday approved a bill to repeal and replace major parts of the Affordable Care Act. The vote, 217-213, came on President Trump's 105th day in office and dismantles key ACA provisions such as essential health benefits and pre-existing condition protections.

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Topics: Affordable Care Act

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

Supreme Court Upholds ACA Subsidies Nationwide in King v. Burwell Decision

by Kaitlyn Houseman on June 25, 2015

The U.S. Supreme Court ruled on Thursday that the subsidies offered as part of the Affordable Care Act (ACA) will be available nationwide, regardless of whether they are used to buy health insurance on an exchange established by the federal government or an individual state.

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Topics: Affordable Care Act

Healthcare Spending Escalates in First Quarter

by Kaitlyn Houseman on May 5, 2014

New federal data finds that health care spending increased by 9.9 percent in the first quarter of 2014. According to data released Wednesday by the Bureau of Economics Analysis the recent rise in healthcare spending is the biggest jump since the third quarter of 1980.

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Topics: Medical Business, Affordable Care Act

CMS' Tavenner: ICD-10 Deadline Will Not Be Delayed

by Kaitlyn Houseman on February 28, 2014

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Topics: CMS, ICD-10, Affordable Care Act, Incentive Programs

Verifying Patient Coverage in a Health Insurance Marketplace Plan

by Kaitlyn Houseman on December 31, 2013

The New Year and the new Health Insurance Marketplace, also known as Health Insurance Exchange, is here.  Over a million people will have a new insurance plan and in many cases their first insurance plan in years.  Some may have signed up a few months ago while others just a few days.  While some patients visiting your office will be aware of the need to carry their card with them, some won't and others may have not even received their card in the mail yet.  It is likely that your office will need to verify their coverage.

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Topics: Revenue Cycle Management, Practice Management, Affordable Care Act, Patient Engagement

[Infographic] Important Healthcare Deadlines to Remember

by Kaitlyn Houseman on December 19, 2013

Healthcare Deadlines Over the Next Few Years

Still trying to figure out the who, what, when and where of the upcoming healthcare deadlines? It can be hard to stay up-to-date with all of the changes with policies and payments. Check out the following timeline to plan for the changes over the next couple of years.

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Topics: Revenue Cycle Management, EHR, Practice Management, CMS, ICD-10, Affordable Care Act, Incentive Programs

7 Reasons to Purchase an EMR in 2013

by Kaitlyn Houseman on December 12, 2013

  1. Expiring Favorable Tax Law – Tax Savings
  2. Patients Prefer Patient Portals and EHRs
  3. Free iPad 3 promotion through 12/31/2013
  4. Deferred financing on license fees by 12/31/2013
  5. 2014 is Final Year to Qualify for Medicare EHR Incentives
  6. No down payment required with GroupOne
  7. Become a Modern and Paper Free Practice in 2014 – New Year’s Resolution

1. Expiring Favorable Tax Laws – Tax Savings

There are several tax law changes pending for 2014 that will significantly revise favorable business tax provisions for medical practices.

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

EHR Incentive Programs: Important Payment Adjustment Information

by Kaitlyn Houseman on November 1, 2013

Medicare EPs participating in the EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. 

CMS will determine the payment adjustment based on meaningful use data submitted prior to the 2015 calendar year. EPs must demonstrate meaningful use prior to 2015 to avoid payment adjustments. Determine how your EHR Incentive Program participation start year will affect the 2015 payment adjustments:

If you began in 2011 or 2012
If you first demonstrated meaningful use in 2011 or 2012, you must demonstrate meaningful use for a full year in 2013 to avoid the payment adjustment in 2015. 

If you began in 2013
If you first demonstrate meaningful use in 2013, you must demonstrate meaningful use for a 90-day reporting period in 2013 to avoid the payment adjustment in 2015. 

If you plan to begin in 2014
If you first demonstrate meaningful use in 2014, you must demonstrate meaningful use for a 90-day reporting period in 2014 to avoid the payment adjustment in 2015. This reporting period must occur in the first 9 months of calendar year 2014, and EPs must attest to meaningful use no later than October 1, 2014, to avoid the payment adjustment. 

Avoiding Payment Adjustments in the Future
You must continue to demonstrate meaningful use every year to avoid payment adjustments in subsequent years.

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

Join the Next eHealth Provider Webinar on Stage 2

by Kaitlyn Houseman on October 31, 2013

If you are an eligible professional preparing for Stage 2, you are encouraged to join the next CMS eHealth webinar on Stage 2 health information exchange requirements, which will be held on Tuesday, November 5th from 12:00 – 1:30 p.m. ET. The webinar is titled, “Exchange Criteria in Stage 2,” and will focus on three measures in Stage 2 that require the exchange of health information. CMS experts will be presenting on the following topics:

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Topics: Practice Management, CMS, Affordable Care Act, Incentive Programs

Stage 1 Meaningful Use Calculator

by Kaitlyn Houseman on October 25, 2013

Stage 1 Meaningful Use Calculator Includes Updated Measure Requirements

The Stage 1 Meaningful Use Attestation Calculator can help you prepare to enter your meaningful use information into the CMS attestation system. Enter your meaningful use data into the calculator to learn if you have met all of the objectives and the associated measures prior to completing attestation for Stage 1 of the EHR Incentive Programs.

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Topics: CMS, Affordable Care Act, Incentive Programs

3 Months of Meaningful Use in 2014 For Medicare Providers

by Kaitlyn Houseman on October 10, 2013

CMS Permitting a One-Time 3-Month Reporting Period in 2014 

In order to allow for adequate time for providers to upgrade to 2014 Certified EHR technology, CMS is permitting this one-time three-month reporting period in 2014 for eligible hospitals and eligible providers.  Eligible Hopsitals have until July 1, 2014 and Eligible Providers have until October 1, 2014 to begin their three month reporting period with 2014 Edition software. Therefore, some providers will be able to achieve Meaningful Use in the first quarter, rather than the last, and receive incentives earlier.

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Topics: Medical Business, EHR, Practice Management, CMS, Affordable Care Act, PQRS, Incentive Programs

Insurance Exchanges & Your Practice Part 1: What to Expect

by Kaitlyn Houseman on October 9, 2013

Health Insurance Exchange Impact on Medical PracticesBy now you have probably read a number of articles and blog posts regarding the exchanges created by the Patient Protection and Affordable Care Act (ACA).  In case you have been hiding under a rock the past couple of days, the federal government opened the exchanges on October 1st to Americans which will offer them four tier levels of health insurance plans.  The lower monthly premiums will come with substantially higher deductibles however the exchanges will ultimately provide Americans with healthcare plans at a low cost.  On top of the low costs, some Americans will be eligible for tax credits and subsidies.

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Topics: Practice Management, CMS, Affordable Care Act

CMS eHealth Provider Webinar on Clinical Quality Measures

by Kaitlyn Houseman on September 17, 2013

Join the Next eHealth Provider Webinar on Clinical Quality Measures (CQMs) and Reporting Beginning in 2014 for Eligible Professionals

Eligible professionals are encouraged to join the next CMS eHealth webinar on clinical quality measures (CQMs), which will be held on Tuesday, September 24th from 12:00 to 1:30 p.m. ET. The webinar is titled “CQMs for 2014” and will focus on reporting CQMs beginning in 2014. CMS experts will be presenting on the following topics:

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Topics: EHR, CMS, Affordable Care Act, Incentive Programs

Preparing for the HIPAA Omnibus

by Kaitlyn Houseman on September 13, 2013

Understanding the HIPAA Omnibus Rule is likely something you have been working on since the Federal Register published the 138 three-column pages on January 25, 2013.  The deadline for compliance is required with respect to most provisions no later than September 22, 2013. 

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Topics: Medical Business, Practice Management, HIPAA, Affordable Care Act

Payment Adjustments and Hardship Exceptions for EHR Program

by Kaitlyn Houseman on August 14, 2013

Register for August 15th National Provider Call on Payment Adjustments and Hardship Exceptions for Medicare EHR Incentive Program

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Topics: EHR, Affordable Care Act, Incentive Programs

EHR Incentive Program Milestones | Key Deadlines Coming in 2014

by Kaitlyn Houseman on July 13, 2013

2014 will be a big year for CMS eHealth programs— there are key deadlines for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs; an expansion of eReporting will be coming up; the implementation of quality reporting program alignment begins; and the ICD-10 transition takes place on October 1st. Each of these milestones supports the overall goals of the eHealth initiative—helping health care providers deliver better patient care by simplifying the use of electronic standards and encouraging the adoption of health information technology.

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Topics: CMS, ICD-10, Affordable Care Act

2013 Physician Survey | Outlook for the Future Includes EHR

by Kaitlyn Houseman on July 9, 2013

Deloitte's 2013 Survey of US Physicians finds they believe the profession's future is decidely different than its past. Their view: the future is practicing in larger organizations using health information technologies (HIT) and team-based models.

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Topics: Medical Business, EHR, Practice Management, Affordable Care Act

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

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