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GroupOne Health Source Practice Management Blog


The GroupOne RCM Blog


The End of SGR Cuts As We Know It

by Kaitlyn Houseman on January 14, 2014

Ending the sustainable growth rate cuts this year would be one resolution for Congress in 2014 that could dramatically change physician payment as we know it.  Recently, the House Ways and Means and Senate Finance committees reported out nearly identical bills to repeal the Medicare SGR formula.  With the end goal being to move Medicare at a faster pace to paying physicians based on quality improvement activities.   This is by far the closest Congress has ever gotten to reaching a bipartisan, bicameral accord on permanently repealing the SGR. 
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Topics: Revenue Cycle Management, CMS, PQRS

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

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

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

2013 PQRS Program: What Providers Need to Know

by Kaitlyn Houseman on September 3, 2013

Providers are encouraged to join the next CMS eHealth webinar, which will be held on Wednesday, September 11th from 12:00 – 1:30 p.m. ET. The webinar is titled, “2013 PQRS Program: What Providers Need to Know about Upcoming PQRS Deadlines.” CMS experts will focus on upcoming deadlines for the 2013 PQRS and Value Based Payment Modifier programs, with topics including the following:

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Topics: CMS, PQRS

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

Medicare ePrescribe (eRx) Deadline Approaching This Month

by Kaitlyn Houseman on June 5, 2013

A significant deadline for the Medicare eRx Incentive Program is fast approaching.   This June 30, 2013 deadline affects any provider who submits Medicare Part B Fee for Service (FFS) claims.  Act now to ensure that you avoid the 2.0% payment adjustment (penalty) that would be imposed in 2014. 

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Topics: Practice Management, CMS, PQRS

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

Avoiding 2015 PQRS Payment Adjustments

by Kaitlyn Houseman on March 29, 2013


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

Upcoming CMS Sponsored Calls

by Kaitlyn Houseman on January 16, 2012

January 17, 2012 National Provider Call with Question & Answer Session on 2012 Physician Quality Reporting System and Electronic Prescribing (eRx) Incentive Program; 1:30 - 3:00pm ET.

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Topics: EHR, CMS, PQRS

Register Now: PQRI National Provider Information Call

by Kaitlyn Houseman on August 3, 2011

The Centers for Medicare & Medicaid Services (CMS) will host a national provider call on the Physician Quality Reporting System & Electronic Prescribing Incentive Program. A question and answer session will follow the presentation.

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Topics: eClinicalWorks, EHR, PQRS, Incentive Programs

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