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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

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

SGR Fiscal Cliff Updates and Medical Practice Impact

by Kaitlyn Houseman on January 2, 2013

Yesterday, the United States Congress approved legislation that prevents most taxpayers from experiencing a tax increase; prevents the scheduled 26.5% SGR related cut in physician fee schedule payments; and delays (until early March) the 2% across-the-board cut in Medicare payments due to sequestration.

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

7 Reasons to Purchase EHR by end of 2012

by Kaitlyn Houseman on October 18, 2012

  1. Expiring Favorable Tax Law – Tax Savings
  2. Patients Prefer Patient Portals and EHRs
  3. Free iPad 3 promotion thru 12/31/2012
  4. Deferred financing on license fees by 12/31/2012
  5. $39,000 - $63,750 stimulus payment
  6. No down payment required with GroupOne
  7. Become a Modern and Paper Free Practice in 2012 – New Year’s Resolution

1. Expiring Favorable Tax Laws – Tax Savings

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Topics: EHR, eClinicalWorks, Medical Business, Incentive Programs

EHR Adoption Continues to Rise

by Kaitlyn Houseman on October 5, 2012

Physician adoption of ambulatory electronic health records is on an upswing, with 69 percent of physicians surveyed owning an EHR, up from about 61 percent in 2011 and 42 percent in 2010, according to a new survey published by CapSite.

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Topics: EHR, Incentive Programs

New Medicaid EHR Incentive Program Guide

by Kaitlyn Houseman on August 6, 2012

Take a Look at CMS' New Medicaid EHR Incentive Program Guide for Eligible Professionals; Remember to Register Now for the EHR Incentive Programs

CMS has created a new comprehensive guide, An Introduction to the Medicaid EHR Incentive Program for Eligible Professionals, to help walk EPs through all of the phases of the Medicaid program. This guide includes chapters on:

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Topics: EHR, Incentive Programs

eClinicalWorks P2P - Connect the Docs

by Nicole Laucks on August 4, 2012

Let’s face it - communication and clinical data exchange between providers is an inefficient process. How much time is lost on the phone, calling to gather information or to make a referral appointment? How much time is wasted scanning and faxing patient documents back and forth between providers and specialists? Time is money, correct? There has to be a better way.

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Topics: eClinicalWorks, EHR, Incentive Programs

EMR Incentive Program Updates

by Kaitlyn Houseman on July 18, 2012

CMS and ONC Announce Over 100,000 Providers Have Been Paid Under the EHR Incentive Programs

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) announced that over 100,000 health care providers have been paid under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.

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Topics: CMS, Medical Business, Incentive Programs

Upcoming Meaningful Use Conference Call - June 7th

by Kaitlyn Houseman on May 31, 2012

Register for CMS' National Provider Call on Registration and Attestation

CMS is holding a National Provider Call on Thursday, June 7, from 1:30 – 3:00 pm ET for eligible professionals (EPs) to learn about registration and attestation for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.

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Topics: eClinicalWorks, Incentive Programs

Meaningful Use: Last Chance for Docs?

by Kaitlyn Houseman on May 18, 2012

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

Medical Providers Missing Billions of Incentives

by Kaitlyn Houseman on May 17, 2012

New research suggests that providers are missing out on as much as $20 billion a year in incentives because their availability is poorly communicated. The study, by Illinois-based ZS Associates, concluded that up to 75 percent of incentives are going uncollected.

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Topics: Medical Business, Incentive Programs

Success Story: eCW & Chronic Disease Management Program in New York

by Kaitlyn Houseman on April 29, 2012

(From Dark Daily)

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

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