The transition to ICD-10 is going to change how you do business from registration and referrals to superbills and software upgrades. However CMS has the following resources to help your practice prepare for the transition.
If you are an eligible professional or group practice participating in PQRS, CMS wants to make sure you are prepared for the many important program milestones that are approaching. To help you navigate these program deadlines, CMS has released a new PQRS interactive timeline that will help you identify key program dates for PQRS between 2014 and 2016, and direct you to related resources.
Are you a provider who is demonstrating Stage 2 of meaningful use? If so, a new CMS and ONC tool called the Randomizer will let you exchange data with a Test EHR in order to meet measure #3 of the Stage 2 transitions of care requirement. Measure #3 requires at least one summary of care document sent electronically to a recipient with a different EHR vendor or to a CMS test EHR. Click here to learn more about the Randomizer application
Englewood, Colo., Feb. 4, 2014 – As the Oct. 1 compliance date to transition to the International Classification of Diseases, Tenth Revision (ICD-10) approaches for physician practices, MGMA research released today indicates that overall readiness for implementation continues to lag. Less than 10 percent of responding practices reported that they had made significant progress when rating their overall readiness for ICD-10 implementation, up only slightly (from 4.7 percent) since June 2013, when MGMA previously conducted research to assess readiness levels. The new research includes responses from more than 570 medical groups where more than 21,000 physicians practice.
“The critical coordination that must take place between practices and their software vendor, clearinghouse and health plan partners is simply not happening at the pace required for a seamless implementation. Very simply, ICD-10 is behind schedule,” said Susan L. Turney, MD, MS, FACP, FACMPE, MGMA president and chief executive officer. “MGMA continues to advocate on behalf of members and provides tools and resources to help practice executives make the transition to ICD-10 more cost effective and less disruptive to their organizations.”
MGMA urges the Centers for Medicare & Medicaid Services (CMS) to immediately take action to help ensure that physician practices can successfully undertake such a massive transition, including:
Due to the large volume of providers attesting, please submit your data as soon as possible and during non-peak hours to avoid system delays.
Are you interested in learning more about Accountable Care Organizations (ACOs)? Join CMS for the next eHealth provider webinar on Tuesday, January 28th from 12:00 – 1:30 p.m. ET to receive more information about ACOs and how they are improving health care quality and delivery.
CMS has released the following statement now that President Obama has signed into law the legislation necessary to prevent the SGR related cut from taking place on January 1, 2014. According to this announcement, additional revisions may be made in the conversion factor. It is not clear when those revisions will be announced but once they are we will be posting the updates to our website.
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.
There are several tax law changes pending for 2014 that will significantly revise favorable business tax provisions for medical practices.
Have you reviewed your practice processes to make sure that your patients’ personal health information is protected and secure?
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.
Last Wednesday, while most of us were stuffing the turkey and preparing for a long weekend, the Centers for Medicare and Medicaid Services (CMS) finalized payment rates and policies for 2014 in the Physician Fee Schedule (PFS) Final Rule. Care management outside of the routine office visit and policies to promote high quality care and efficiency in Medicare were a major focus in the proposal. The final rule sets payment rates for physicians and non-physician practitioners paid under the Medicare Physician Fee Schedule for 2014 and addresses the policies included in the proposed rule issued in July. CMS projects that total payments under the fee schedule in 2014 will be approximately $87 billion.
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 Programs, ICD-10, and the Physician Quality Reporting System (PQRS).
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.
Several years ago, CMS mandated that payment for referral services would only be paid if the referring provider were properly enrolled in Medicare. Due to industry pressure, the effective date for this policy was continually delayed to allow providers sufficient time to meet the enrollment criteria. According to the following announcement, CMS intends to instruct their Contractors to turn on the ordering and referring edits on January 6, 2014.
According to CMS, 1 in 5 physician practices will see their Medicare denials double for up to 6 months after October 1, 2014, the deadline for ICD-10. Your practice does not have to be one of them. Get started early with planning for ICD-10.
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.