BREAKING NEWS! CMS has finalized the new Quality Payment Program (MIPS, APM, MACRA). In order to help explain the new program, CMS has created a new Quality Payment Program website http://qpp.cms.gov. This new website will also help to identify the most relevant measures for your practice or specialty. More information coming soon!
Learn more about potential changes to Chronic Care Management that could increase your revenues and position your clinic to meet portions of the new CMS requirements more effectively and easier than ever before! “Explore CareSync resources now available to help your practice meet the clinical and documentation requirements for the Medicare’s Chronic Care Management.” Benefits to your practice (typically for Family or Internal Medicine clinics with a high Medicare patient volume): Additional revenues (depending on…
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The Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Program’s Goal is paying for value and better care. The QPP has 2 paths: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). We will focus on the Merit-Based Incentive Payment System (MIPS) path. Please Note: A final rule is expected from CMS by November 2016. Starting in 2017, all of the current programs (PQRS, Meaningful Use, Value Modifier) will be combined into ONE…
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CMS proposes 90-Day Meaningful Use reporting period in 2016 The Centers for Medicare & Medicaid Services (CMS) has proposed having a shorter Meaningful Use reporting period for all eligible professionals for the 2016 reporting year. This shorter reporting period would be any continuous 90-day period between Jan. 1 and Dec. 31, 2016. CMS included this provision in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. The OPPS…
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CMS has extended the EHR Attestation Deadline until 11:59 pm ET on March 20, 2015 for EPs attesting to meaningful use for the Medicare EHR Incentive Program 2014 reporting year. This deadline extension is to allow EPs more time to submit meaningful use data. CMS, as well as MediSYS, urges you to begin your 2014 Medicare meaningful use reporting period attestation as soon as possible. Please Note: This deadline extension only affects the Medicare…
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Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill Under the All-Inclusive Rate (AIR) System CMS has determined that HCPCS codes G0101 and Q0091 are billable visits when furnished by a RHC or FQHC practitioner to a RHC or FQHC patient. *Effective for dates of service on or after January 1, 2014 CMS has indicated that Provider Action is Needed. CMS will not search for claims…
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*Update* On April 1, 2014, the “Protecting Access to Medicare Act of 2014” bill was signed into law. This legislation delayed ICD-10 implementation which may not occur prior to October 1, 2015 as well as continuing the 0.5% update to Medicare physician payments through Dec. 31, 2014 and providing a 0% freeze to payments Jan. 1-March 31, 2015. ___________________________________________________________ On March 31, 2014, the US Senate passed a bill to delay the planned ICD-10 implementation…
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2014 is a BIG Year, Let MediSYS Guide You Through The year 2014 comes with high stakes and BIG changes for healthcare providers. The list of penalties and new requirements is bigger than ever, and without guidance from your EHR vendor, your clinic could wind up in the dark. Not only is 2014 the last year for Medicare providers to begin participation in Meaningful Use to potentially earn an incentive and avoid the penalty. Being…
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On December 6th, 2013, CMS proposed a new meaningful use timeline for the Medicare and Medicaid EHR Incentive Programs. Under this new timeline, Stage 2 MU will be extended through 2016 with Stage 3 beginning in 2017. Providers are still required to complete at least 2 years in Stage 2 before advancing to Stage 3. “The goal of this change is two-fold:” according to CMS, “first, to allow CMS and ONC to focus efforts on…
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The CMS Physician Quality Reporting System (PQRS) is a program in which eligible professionals (EPs) report data on quality measures for covered Physician Fee Schedule (PFS) services provided to Medicare Part B Patients. EPs are encouraged to satisfactorily report data on quality measures for covered professional services through incentive payments (concluding in 2014) and payment adjustments for not satisfactorily reporting data on quality measures (starting in 2015). EPs will be subject to a payment adjustment…
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First Year of Meaningful Use Maximum Possible Medicare Incentive 2013 $39,000 2014 $24,000* *$15,000 LOSS in possible incentives if you WAIT till 2014 BOTTOM LINE: START THIS YEAR Waiting till 2014 to begin means you could forfeit $15,000 of potential incentive money. To avoid this, start TODAY in 2013 and attest for 90 days of ‘meaningful use’. Don’t leave this money on the table. NEW: CMS EHR Participation Timeline CMS has posted a new interactive…
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March 11th, 2013 Although not all incentive payments have been reported, those payments reported to MediSYS indicate our Alabama Providers have collected over 4 million dollars in incentive payments. And that number continues to grow every day as physicians report receiving their checks. Providers from cities across the state of Alabama have received Medicare and Medicaid EHR incentive payments. Plus, many Medicare providers have collected significant ePrescribe incentive payments, PQRS incentives and more. Specialties receiving…
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