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GroupOne Health Source Blog

GroupOne Revenue Cycle Blog 

Insights to guide your practice.

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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

CMS Phase 2 Denial Edits Will Begin January 6, 2014

by Kaitlyn Houseman on November 14, 2013

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.  

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Topics: Medical Business, Coding, Denial Management, Practice Management, Revenue Cycle Management, CMS

4 Major Risks with ICD-10

by Kaitlyn Houseman on November 13, 2013

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.

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

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: CMS, Affordable Care Act, Revenue Cycle Management, 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: CMS, Affordable Care Act, Practice Management, 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, Affordable Care Act, CMS

Effect of Government Shutdown on Medicare

by Kaitlyn Houseman on October 1, 2013

The federal Fiscal Year runs from October 1 through September 30th.  This means that Fiscal Year 2014 begins today on Tuesday, October 1.  In order for the government to operate, the Congress must pass and the President must sign appropriations bills that release the money necessary to fund the operation of the federal government. 

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Topics: CMS, Medical Business, Practice Management, Revenue Cycle Management

There's an ICD-10 Code For That?

by Kaitlyn Houseman on September 29, 2013

Burn Due to Water Skis on Fire? - There's an ICD-10 Code For That!

Struck by a Turtle? Walked Into a Lamppost? Hurt While Crocheting? Burn Due to Water Skis on Fire? – There’s a Code for that.

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Topics: CMS, ICD-10, Practice Management, Coding, Denial Management

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

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: CMS, PQRS, Revenue Cycle Management, 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

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