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eClinicalWorks EHR Users Blog

      

eClinicalWorks EHR Users Blog

Tutorials, Tips, and Updates for eClinicalWorks EHR Users


PQRS Program Update - Extended Deadline to October 18th

Kaitlyn Houseman

by Kaitlyn Houseman on Oct 11, 2013 4:27:00 PM

Providers across the United States are participating in the Centers for Medicare & Medicaid Services (CMS) Physician Quality Reporting System (PQRS) program. PQRS is a reporting program that uses incentive payments and payment adjustments to promote reporting of quality information. Incentive payments for PQRS continue through the 2014 program year, and payment adjustments begin in 2015, and are based on 2013 reporting.

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

CMS Update: Payment Adjustments Beginning January 1, 2015

Jessica Graham

by Jessica Graham on May 30, 2013 11:58:00 AM

Medicare EPs: How to Avoid Payment Adjustments

Medicare eligible professionals (EPs) who do not demonstrate meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program may be subject to payment adjustments beginning on January 1, 2015. Because payment adjustments are mandated to begin on the first day of the 2015 calendar year, CMS will determine the payment adjustments based on meaningful use data submitted prior to the 2015 calendar year.

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Topics: Revenue Cycle Management, CMS, Incentive Programs

October 2014 Deadline Remains Intact for ICD-10 Implementation

Kaitlyn Houseman

by Kaitlyn Houseman on May 8, 2013 10:22:00 AM

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Topics: Revenue Cycle Management, Medical Business, Practice Management, ICD-10, Coding

Several Changes to Stage 1 Meaningful Use Measures Begin This Year

Kaitlyn Houseman

by Kaitlyn Houseman on Jan 22, 2013 11:10:00 AM

The Stage 2 rule for the Electronic Health Record (EHR) Incentive Programs included changes to the Stage 1 meaningful use objectives, measures, and exclusions for eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs). Some of these Stage 1 changes took effect on October 1, 2012, for eligible hospitals and CAHs, or January 1, 2013, for EPs. Several are optional, but others are required.

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Topics: Revenue Cycle Management, Medical Business, CMS, Incentive Programs

Fiscal Cliff Impact on Physicians

Kaitlyn Houseman

by Kaitlyn Houseman on Jan 2, 2013 8:49:00 AM

The House of Representatives late Tuesday approved the Senate's last-minute fiscal cliff package (PDF) that staves off a sharp Medicare physician pay cut by cutting billions from other Medicare providers, including hospitals, pharmacies and dialysis clinics.

Early on New Year's Day, the Senate voted 89-8 to approve the American Taxpayer Relief Act, an amended version of a tax bill that House Ways and Means Chairman Dave Camp (R-Mich.) introduced last summer. House members on Tuesday considered the Senate-passed legislation in meetings during the day and floor debate in the evening. In a vote of 257 to 167, the House passed the measure, which permanently extends middle-class tax cuts and postpones the automatic spending cuts known as the sequester for two months. The legislation also averts the expected 26.5% Medicare physician payment cut and extends current Medicare payment rates for doctors through Dec.31, 2013.

Now that both chambers have approved the package, Congress will send the legislation to President Barack Obama for his signature. Moments after the House vote, the president said in a brief news conference that Tuesday's agreement helps reduce the nation's deficit by raising $620 billion in revenue from the wealthiest households in America. He also noted there will be more deficit reduction as Congress considers how to address the sequester, and he indicated he's open to reforms in the Medicare program.

“As I've demonstrated throughout the past several weeks, I am very open to compromise. I agree with Democrats and Republicans that the aging population and the rising cost of healthcare makes Medicare the biggest contributor to our deficit," the president said. "I believe we've got to find ways to reform that program without hurting seniors who count on it to survive. And I believe that there is further unnecessary spending in government that we can eliminate. But we can't simply cut our way to prosperity."

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

Prepare for ICD-10 Implementation

Kaitlyn Houseman

by Kaitlyn Houseman on Oct 11, 2012 7:50:00 PM

National Provider Call: Preparing Physicians for ICD-10 Implementation - Register Now

 Thursday, October 25; 1:30-3pm ET

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Topics: Revenue Cycle Management, Medical Business, Practice Management, ICD-10

ICD-10 Potential Enforcement Delays

Kaitlyn Houseman

by Kaitlyn Houseman on Apr 18, 2012 6:47:00 PM

New health care law provisions cut red tape, save up to $4.6 billion

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Topics: Revenue Cycle Management, eClinicalWorks, EHR, ICD-10

5010 Electronic Claims Submission 496 Edit

Kaitlyn Houseman

by Kaitlyn Houseman on Feb 25, 2012 12:42:00 PM

5010 Electronic Claims Submission 496 Edit And Advanced Diagnostic Imaging Denials

Denial for Advanced Diagnostic Imaging Services

CMS has received reports that providers are receiving denials for advanced diagnostic imaging (ADI) services they are accredited to perform.  We have taken action to correct the situation.  CMS has instructed all contractors to review each ADI claim denial, and reprocess those claims that were deemed to be incorrectly denied, in a timely manner.  Providers do not need to take any action in this situation.

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Topics: Revenue Cycle Management, EHR, CMS

Physician Pay Rates - SGR Cut Delayed

Kaitlyn Houseman

by Kaitlyn Houseman on Feb 17, 2012 2:21:00 PM

The House and Senate have both voted to approve legislation preventing the scheduled 27.4% SGR related cut from taking effect on March 1.  The legislation goes to the President who has indicated that he will sign the bill.

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Topics: Revenue Cycle Management, Medical Business, CMS

ICD-10 Postponement Appears Likely

Kaitlyn Houseman

by Kaitlyn Houseman on Feb 17, 2012 11:12:00 AM

Health and Human Services (HHS) Secretary Kathleen G. Sebelius has announced that HHS will initiate a process to postpone the date by which certain healthcare entities have to comply with ICD-10.

The final rule adopting ICD-10 as a standard was published in January 2009 and set a compliance date of October 1, 2013–a delay of two years from the compliance date initially specified in the 2008 proposed rule. HHS will announce a new compliance date moving forward.

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Topics: Revenue Cycle Management, EHR, Practice Management, ICD-10

Changes to 2012 Physician Fee Schedule

Kaitlyn Houseman

by Kaitlyn Houseman on Nov 15, 2011 10:47:00 AM

The Centers for Medicare and Medicaid Services (CMS) has released the 2012 Medicare Physician Fee Schedule (MPFS) rates final rule.  The payment rate adjustment is effective for services delivered on or after January 1, 2012.  As you will note, the announced rate reflects a 27.4 percent SGR downward adjustment.  This downward adjustment is slightly less than the 29.5 percent reduction previously projected by CMS.  Unless Congress intervenes to prevent this cut from taking place, physicians will experience a dramatic reduction in their Medicare fee schedule payments.

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Topics: Revenue Cycle Management, EHR, CMS

ICD-10 conversion may require 110,000 hours of education

Kaitlyn Houseman

by Kaitlyn Houseman on Oct 31, 2011 12:39:00 PM

Written by Beth Walsh   

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Topics: Revenue Cycle Management, Medical Business, ICD-10

EHR Procrastinators could face series of tighter standards

Jessica Graham

by Jessica Graham on Jun 17, 2009 11:38:00 AM

There may soon be one more incentive for hospitals and physician offices to buy and install electronic health-record systems on or before 2011. The added push could come from the prospect of increasingly higher thresholds of initial federal eligibility requirements for EHR subsidies under the American Recovery and Reinvestment Act of 2009, according to discussions at Tuesday's meeting of the Health Information Technology Policy Committee.
A work group of that committee delivered its first draft of recommended definitions of " meaningful use" of EHRs, a standard that providers must meet to qualify for subsidy payments estimated at $34 billion to be handed out by Medicare and Medicaid. The work group recommended instituting a series of increasingly complex meaningful-use requirements between 2011, the first "payment year" of the subsidy program, and 2015, the final year payments will be made before financial penalties for not adopting begin.
During those discussions, Anthony Trenkle, director of the CMS' office of e-Health Standards and Services, said the requirements will not be "tiered" based on when the provider adopts an EHR after 2011. Instead, whatever meaningful use standards are applicable for the year the provider applies for an EHR subsidy are the standards that provider must meet, regardless of whether it is the provider's first year of EHR implementation.
A 10-day public comment period is now open on the work group's initial recommendations. Trenkle said the CMS hopes to have a final definition of "meaningful use" to put out for a 60-day comment period later this year, with final rulemaking not expected until early next year.

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Topics: Revenue Cycle Management, GroupOne, EHR, CMS, Incentive Programs