CMS Posts EHR Incentive Payment Recipient Information

In compliance with the HITECH Act’s requirement, CMS has posted the names, business phone numbers, and business addresses of Medicare eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that have successfully demonstrated meaningful use and received a payment as of March 2012. Medicare EPs, eligible hospitals, and CAH’s were able to verify and edit their business phone numbers and addresses during the registration process. CMS has not posted information on group practices, as incentive payments are not provided at the group practice level. Continue reading

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Medicare’s PECOS Rules Change Ability to Refer

Provider Enrollment, Chain and Ownership System (PECOS) rules finalized by the Centers for Medicare & Medicaid Services (CMS) will make it easier for physicians to refer patients to specialists. Continue reading

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Survey on Obtaining Payer Fee Schedules

A colleague of mine, Frank Cohen, is conducting a survey on your ability to obtain fee schedules from your payers.  We obtain quite a bit of this information from payers on our client’s behalf and usually do not have an issue obtaining it.  We have participated in this survey.  I have included the information about his survey below.  Feel free to participate to help provide Frank with the best data possible. Continue reading

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CMS Increases Enrollment Submission Window

CMS is making enrollment easier.  This has nothing to do with the 60 days you have to complete a revalidation after you receive the revalidation notice in the mail. Continue reading

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Physician Practices – An Opinion on Practice Survival

There are many opinions on what a small physician practice should do to survive as a business.  Obviously, in these times, it is more important than ever to “keep your eye on the ball” in order to ensure a profitable practice and your livelihood. Continue reading

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NLRB Posting Rule Blocked

Here is an update to the previous article on the new labor law poster requirement article we posted on March 31, 2012. Continue reading

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Support Page Now Available for Medicare eRx Payment Adjustment Hardship Exemption Requests

In 2009, CMS implemented the Electronic Prescribing (eRx) Incentive Program, which is a program that uses incentive payments and payment adjustments to encourage the use of qualified electronic prescribing systems. Continue reading

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WPS: Status of 3 chronic conditions accepted with 97 guidelines only

E/M documentation

Here is a follow-up article, to a prior blog post, that was reported by Karen Long of Part B News Practices that followed WPS carrier instructions to document extended history of present illness (HPI) with three or more chronic conditions when using the 95 E/M guidelines must retrain staff to follow the “four or more elements” requirement to avoid lost payments. Continue reading

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HHS Press Release: HHS Secretary Kathleen Sebelius Announces Delay of ICD-10 until October 1, 2014

In a new press release from HHS, Secretary Kathleen Sebelius announced a proposed rule that would delay the compliance date for ICD-10 from October 1, 2013 to October 1, 2014. Continue reading

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CMS has Posted the Proposed CQMs under the Stage 2 NPRM on the CMS Website

CMS has posted the full set of proposed Clinical Quality Measures (CQMs) for 2014 as part of the Medicare and Medicaid Programs Electronic Health Record (EHR) Incentive Programs Stage 2 Notice of Proposed Rule Making (NPRM). The public can review the CQMs and submit feedback online. Continue reading

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