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GroupOne Health Source Practice Management Blog

      

The GroupOne Health Source Blog

 Answers and Insights Every Healthcare Professional Needs.

 

Stage 2 and Stage 3 Meaningful Use Extensions Announced

by Kaitlyn Houseman on December 7, 2013

If you read it carefully, a joint CMS and ONC post divulges their intentions to elongate meaningful use stages 2 and 3 via a proposed new schedule.

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Topics: CMS, Incentive Programs

Join the Next CMS eHealth Webinar on Program Milestones

by Kaitlyn Houseman on December 3, 2013

Join Next Provider Webinar on 2014 CMS eHealth Program Milestones for Eligible Professionals

Eligible Professionals (EPs) are encouraged to join the next CMS eHealth webinar on milestones for 2014 eHealth programs, which will be held on Thursday, December 5th from 12:00 – 1:30 p.m. ET. The webinar will help you prepare for major eHealth deadlines, transition milestones and benchmarks in 2014. CMS experts will present on eHealth programs including the EHR Incentive ProgramsICD-10, and the Physician Quality Reporting System (PQRS).

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Topics: EHR, CMS, ICD-10, PQRS, Incentive Programs

New EHR Tipsheet for Eligible Professionals

by Kaitlyn Houseman on November 25, 2013

If you are an eligible professional preparing for Stage 2 of the EHR Incentive Programs, check out our new CMS tipsheet on Stage 2 health information exchange requirements.

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Topics: EHR, CMS, 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

New CMS Eligibility Fact Sheet Available

by Kaitlyn Houseman on September 24, 2013

New Eligibility Fact Sheet Helps Health Care Professionals Determine eHealthProgram Participation

CMS released a new resource that will help you as a health care professional determine your eligibility for eHealth programs. The tool outlines eligibility for eHealth programs based on your area of practice.

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Topics: CMS, PQRS, Incentive Programs

EHR Satisfaction and Profitability Study Results

by Kaitlyn Houseman on September 21, 2013

EHRs with Integrated Billing Solutions Key to EHR Satisfaction and Improved Practice Profitability Reveals Black Book RCM study

In this segmented survey of healthcare financial leaders, over 8,000 respective CFOs, CIOs, administrators and support staff of US hospitals and physician practices contributed their perceptions to Black Book™ between April 2013 and August 2013.

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Topics: Revenue Cycle Management, EHR, Practice Management, Incentive Programs

Now Available: New EHR Interactive Timeline

by Kaitlyn Houseman on September 17, 2013

Plan Ahead: Review Upcoming eHealth Milestones Using New eHealth Interactive Timeline

CMS posted a new interactive timeline that highlights key 2013 and 2014 milestones for its eHealth programs. The timeline helps you identify key program dates and corresponding required actions, as well as resources to help you complete each milestone.

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Topics: Revenue Cycle Management, CMS, PQRS, Incentive Programs

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

Electronic Prescribing Requirements for Meaningful Use Stage 1

by Kaitlyn Houseman on September 5, 2013

Spotlight on the Electronic Prescribing Measure for Stage 1 Meaningful Use

Eligible professionals have sent more than 190 million electronic prescriptions for Stage 1 of meaningful use for the EHR Incentive Programs since the programs began in 2011. Learn more about the requirements for the Electronic Prescribing (eRx) core measure, and join these providers who are advancing our health care system through the meaningful use of certified EHR technology.

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

PQRS Medicare EHR Incentive Pilot: 10 Steps to Guide You Through

by Kaitlyn Houseman on August 29, 2013

Learn how to Participate in the 2013 PQRS-Medicare EHR Incentive Pilot

10 Steps to Guide You Through Participation

CMS has released a new fact sheet on how to participate in the 2013 Physician Quality Reporting System (PQRS) Medicare Electronic Health Record (EHR) Incentive Pilot Program. The PQRS-Medicare EHR Incentive Pilot Program allows eligible professionals to meet the clinical quality measure (CQM) reporting requirements for the Medicare EHR Incentive Program while also reporting for thePQRS program by submitting their CQM data electronically.

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Topics: Revenue Cycle Management, PQRS, Incentive Programs

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

The Real World Impact of Meaningful Use

by Kaitlyn Houseman on July 25, 2013

A CMS press release from a few weeks ago provided an update on the EHR Incentive Programs. Specifically, the release discussed the real impact of Meaningful Use requirements on the nation’s health care system.

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Topics: Practice Management, CMS, Incentive Programs

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

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

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

Avoiding 2015 PQRS Payment Adjustments

by Kaitlyn Houseman on March 29, 2013

Purpose

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

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