As we move into the second half of the year, many practices and physicians are starting to consider the data they will need to submit under the MACRA/MIPS program. The MACRA/MIPS rules change slightly every year, and this year is no exception. Even though the rules have been adjusted, a basic requirement remains in place:
Altex Business Solutions Blog
LAST CHANCE TO CONFIRM YOUR SPOT! Every practice’s revenue cycle is the same. It starts when a patient sets an appointment and it ends when the practice receives payment. It sounds simple enough, but the reality is there are too many opportunities along the way where simple mistakes can cost your practice money. For over 20 years eMDs has been offering revenue cycle services to our customers. Along the way, we’ve picked up a trick or two and have created a program of RCM Best Practices.Whether you do your own billing and collections or use an outside billing service, using these best practices can help your practice increase revenue, decrease account receivables, reduce expenses, streamline workflow, and most importantly, improve control of your business.
Medisoft V23 On Sale Now!
What's New in Medisoft V23?
Medisoft V23 is loaded with new features that will save your staff time on daily tasks and allowing your office to be more productive.
Medical Office Efficiency: How Medical Office Efficiency Improves Employee and Customer Satisfaction
Lots of things can interfere with productivity in a medical office. Whether it’s poor customer service, bad communication, misuse of technology, or workflow clogs, a medical office’s bottom line will eventually suffer if left unchecked.
Luckily, for as many symptoms of medical office inefficiency as you can identify, it’s usually a treatable condition. It’s important to be proactive though, as the steps you take now could make all the difference. And one of the best-known cures is practice management software.
Well that didn’t take long. In a recent article I made the case that newer variations of ransomware could result in a reportable HIPAA breach. I argued that if ransomware not only encrypted the victim’s files but also copied the files off of a computer or allowed access to the files, then the result could be a reportable breach.
A relatively new variation of ransomware called CryptXXX has been identified. Like older variations, the malware encrypts a victims files and demands a ransom to release the files. The ransom averages about $500.
On April 27, CMS came out with a proposed rule on how physicians will get paid under MACRA (the Medicare Access and CHIP Reauthorization Act). If you want to read the whole 962 page snoozefest, you can find it here (PDF). But sleep or not, this regulation changes the fundamental Fee-For-Service (FFS) system that CMS has used since Medicare’s enactment in 1966. The new system is premised on tying physician payments to quality and value, and is directly related to the Triple Aim of providing better care, lower costs, and improved health.
The topic of ransomware, especially ransomware hitting healthcare organizations, is making headlines daily. Dan Munro has a very good article over at Forbes that asks an important question:
Is Ransomware Considered A Health Data Breach Under HIPAA?
David Harlow, Principal – The Harlow Group, LLC, whose insight into HIPAA law I respect greatly, states:
Ransomware has just recently come to the fore as a threat to the healthcare industry and it challenges our collective instincts about what should be considered data breaches under HIPAA. We need to remember that HIPAA is narrowly drawn and that a breach is defined as the unauthorized “access, acquisition, use or disclosure” of PHI. In many cases, ransomware “wraps” PHI rather than breaches it. This may explain why there are so few public reports of ransomware in healthcare – there is no obligation to report these incidents to OCR
Empowering your patients in their own healthcare is now more important than ever as we make the transition to value-based care. Your practice needs to be ready for Medicare reform well before the MACRA reporting period begins in 2017 – and patient engagement requirements are not going away. In order to accommodate evolving patient engagement demands, you’ll have to employ a suite of seamless, sophisticated tools to support patient engagement and benefit the welfare of both your practice and your patient population. The right user-friendly, state-of-the-art technology will help you satisfy regulatory requirements and improve patient outcomes. Here are some resources and information to help you find, navigate and optimize patient engagement tools that will make the difference.
October 22, 2016 is the Harris County Medical Society Business Expo for Physicians and Practice Managers at NGR Center.
The Clinical Practice Improvement Activities piece of the MIPS puzzle is a new performance category for CMS, and it’s weighted 15 percent of the MIPS total score. Clinicians choose from approximately 90 activities that have been designed with the intention of measuring capabilities in areas like care coordination, beneficiary engagement and patient safety.
60 points = 100 percent credit
The multi-part series will focus on the five ground breaking features of the #1 rated integrated system: Registration, Real Time Eligibility Practice Management, EMR on the iPad, and the Patient Portal.
In a recent Senate Committee on Finance hearing, Acting Administrator of CMS, Andy Slavitt addressed the question: “What options are CMS considering to make sure [MACRA] gets started on the right foot?” The question comes bearing in mind that physicians will only have about two months before the program goes live, if the final rule is in fact announced in November and implemented on January 1, 2017, as planned.
Slavitt seemed to acknowledge the fact that this timeline leaves many (small practices, especially) scrambling to prepare for these major changes in Medicare payment. He disclosed that CMS is open to postponement and shorter reporting periods – as well as considering other ways for clinicians to ease into the program in the short term. A delay of implementation would give clinicians more time to prepare and an adjustment of reporting requirements would ease burdens. He suggested options like obtaining data through automated databases such as a registry, among other methods of easing the initial reporting burdens.
How prescribers wield the power to combat the opioid addiction crisis through e prescribing controlled substances
The nation’s opioid crisis has been of utmost interest in the news and across the healthcare industry of late, as the number of opioid-related deaths have soared to an all-time high and continue to grow. Senate has recently approved and passed a bill strengthening prevention, treatment and recovery efforts – through the empowerment of prescribers and law enforcement officials – but for prescribers, electronically prescribing controlled substances (EPCS) is arguably the most effective, efficient and simplest way to combat the opioid epidemic.
As we blogged about before, EPCS is legal in all 50 states, mandatory in New York (many other states are quickly following this mandate), and offers a tech-enabled, seamless solution for safer, more efficient prescribing with enhanced security. Prescribers have the ability to send all drugs electronically with a single application that creates, manages, and stores every Rx, with detailed verification and safety checks at every step.
In our last few blog posts, we’ve explained the two tracks through which to participate in the new CMS MACRA rule (MIPS or APMs), or Quality Payment Program – as well as who, exactly, is eligible for MIPS, since most practitioners won’t initially participate in the APM model.
MIPS adjusts traditional fee-for-service payments upward or downward based on the new reporting program. This new program will integrate PQRS, Value-Based Payment Modifier and the EHR Incentive Program, which will end at the close of 2018. Parts of each of these previous programs will be streamlined into MIPS.
*Physicians can no longer opt out by paying a penalty – all providers who accept Medicare patients must comply.
In our last blog, we covered the two main paths through which to participate through MACRA: MIPS and advanced APMs. We also mentioned that initially, most practitioners won’t be able to transition to the APM model. The majority of clinicians will therefore be subject to MIPS, which will adjust traditional fee-for-service payments upward or downward based on the new reporting program.
So Who, Exactly, is Subject to MIPS?
The MIPS regulations apply to clinicians only, and not to hospitals. Affected Medicare Part B clinicians who will participate in MIPS will be called “MIPS eligible clinicians.” Eligible clinicians (EC) can report as individuals or as a group.
As we highlighted in our last blog post on MACRA, the goal as stated by the Department of Health and Human Services back in January of 2015 is to tie 95 percent of Medicare payments to quality or value through a combination of two tracks.
A clinic’s cash flow (and at times, survival), depends on the speed of claim transmission and payment posting. The right software can make all the difference in the world.
An integrated EHR and billing software system allows simple, one-click transmission of claim information from the EHR to the billing software, in addition to an array of automatic abilities to scrub claims.