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Tag: EHR Incentives

Palmetto GBA Incorrect Claim Rejections- Group NPI and Rendering Provider NPI Do Not Match

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Issue Identified 3/19/2018 Palmetto GBA is aware that certain Jurisdiction J Part B claims rejected incorrectly when the billing (group NPI) and rendering provider (individual NPI) combination were submitted correctly. Affected claims incorrectly rejected with: Claim Adjustment Reason Code CO-16 (Claim/service lacks information or has submission/billing error(s) and Remittance Advice Remark Code N290 (Missing/incomplete/invalid rendering provider primary identifier) While Palmetto GBA continues to research the issue, a temporary workaround has been implemented to prevent claims…
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Mid-Week MACRA Minute – Advancing Care Information Tips n Tricks

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Helping you put the MIPS pieces together each week! Advancing Care Information: Tips ‘n’ Tricks We created a list of a few tips on the Advancing Care Information (formerly Meaningful Use) performance category for 2017. Remember, the Advancing Care Information (ACI) category counts for 25% of your 2017 MIPS Performance score. Tips ‘n’ Tricks: Make sure you choose the right ACI measure set to report on. This will depend on which version your EHR software is certified; 2014 or…
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Mid-Week MACRA Minute – Quality Measure 226: Preventive Care and Screening: Tobacco Use

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Helping you put the MIPS pieces together each week! Quality Measure 226 – Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS made some changes to Quality Measure 226 and we have highlighted those changes below. Description: Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received cessation counseling intervention if identified as a tobacco user NEW DENOMINATOR/NUMERATOR CRITERIA…
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New Attestation Resources for the 2016 Medicare EHR Incentive Program

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The Medicare EHR Incentive Programs attestation system will be open from January 3 – February 28, 2017. Providers must attest no later than February 28th, 2017 for the 2016 program year to avoid a 2018 payment adjustment. For 2016 Medicare Meaningful Use attestation the reporting period for all participants, returning and new, is any 90-day period in 2016. NEW Attestation Resources: CMS Attestation Worksheets – Providers can log their MU measures for each objective in…
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First-time Medicare Meaningful Use Attestation Deadline is October 1

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Attestation Deadlines for 2016 MEDICARE Meaningful Use Are you a NEW, first-year meaningful use provider for 2016? Do you want to AVOID the payment adjustments for BOTH 2017 AND 2018? If both answers are YES, then you must successfully attest for 2016 meaningful use by October 1st, 2016. The EHR reporting period for 2016 first-time participants is any continuous 90-day period. What happens if I miss the October 1 deadline? You MUST successfully attest for 2016 meaningful use by…
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90-Day Meaningful Use reporting period in 2016 proposed by CMS

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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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Medicare EHR Attestation Deadline Extended until March 20

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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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CMS Finalizes New Rule for 2014 CEHRT

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On August 29th, CMS released the final rule for providers who are unable to fully implement 2014 Edition CEHRT for an EHR reporting period in 2014 due to delays in 2014 CEHRT availability, to allow them to use the 2011 Edition of certified electronic health record technology (CEHRT) for calendar and fiscal year 2014. Providers may now use EHRs that have been certified under the 2011 Edition, a combination of the 2011 and 2014 Editions,…
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2014 Is Big, Let MediSYS Guide You Through

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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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Extended Meaningful Use Stage 2 and Stage 3 Timeline

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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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Are you Eligible to Participate in PQRS?

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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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Countdown to PQRS Penalty Deadline (December 31, 2013)

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Until the PQRS Penalty Deadline (December 31, 2013)   To avoid the 1.5% PQRS Penalty (which will be levied in 2015), all Medicare providers (regardless of participation in other CMS incentive programs or even if you do not have an EHR) must satisfy one of the follow criteria before December 31st, 2013. Successfully report for the 2013 PQRS Incentive criteria (OR) Submit at least 1 valid PQRS measure via claims, participating registry, or participating/qualified Electronic…
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