The Washington State Health Care Authority has announced a traveling seminar on calculating and registering for the Medicaid EHR Incentive Program. The seminar is aimed at group registration and defining the group proxy methodology to calculate … [Continue reading]
ACO: Understanding Beneficiary Assignments
March 21, 2012 By
In the final rule, CMS chose to adopt a preliminary prospective assignment methodology with final retrospective reconciliation. Under this model, CMS will create a list of beneficiaries likely to receive care from the ACO based on primary care … [Continue reading]
MIT Enterprise Forum Focus on Health IT – March 14th
March 13, 2012 By
Interested in Health Information Technology and live in the Pacific Northwest? Then you should attend the MIT Enterprise Forum on Health IT. Wed, 03/14/2012 - 5:00pm - 8:30pm MOHAI 2700 24th Avenue East Seattle, WA To register click … [Continue reading]
Assigning Patients to ACOs
March 13, 2012 By
A hotly contested area of the proposed ACO rules concerns the assignment of Medicare Fee-for-Service (“FFS”) beneficiaries to ACOs. Once a Medicare beneficiary is assigned to an ACO, the ACO will then be held accountable “for the quality, cost and … [Continue reading]
Recent CMS Guidance Allows Non-Medical Staff Practitioners To Order Hospital Outpatient Services
February 29, 2012 By
On February 17, 2011, the CMS Office of Clinical Standards and Quality/Survey & Certification Group issued letter memorandum S&C-12-17 regarding who may order hospital outpatient services (the “SCG Letter”). The SCG Letter … [Continue reading]
CMS Releases Proposed Rule On Meaningful Use Stage 2
February 23, 2012 By
CMS announced today its proposed rule (NPRM) on Stage 2 of the EHR Incentive Program Meaningful Use requirements. These requirements apply to both eligible professionals and hospitals participating in the Medicare and Medicaid EHR Incentive … [Continue reading]
CMS Proposed Rule on Overpayments – A 10 Year Burden
February 21, 2012 By
CMS recently published its proposed rules on reporting and returning overpayments. These rules are intended to implement the 60 day overpayment reporting requirement pursuant to the Affordable Care Act (the “ACA”). The ACA created a new section … [Continue reading]
ICD-10 – Delayed
February 17, 2012 By
HHS announced yesterday its intent to delay the ICD-10 requirement. Entities covered under HIPAA were required to comply with ICD-10 by October 1, 2013, HHS will now delay that date by a new compliance deadline yet to be announced. To read the … [Continue reading]
CMS Not Making Changes to Current EMTALA Policies or Regulations
February 9, 2012 By
On February 2, 2012, CMS published a notice of its policies and request for comments related to two issues regarding the applicability of the Emergency Medical Treatment and Labor Act (“EMTALA”) to hospital inpatients. The first issue involves … [Continue reading]
EHR Contracting Tip: Attestation for AIU
January 28, 2012 By
Now that most states have their Medicaid EHR Incentive Program in full swing we have gotten a glimpse of what they are requiring for attesting to “adopt, implement and upgrade” aka “AIU”. As described in the CMS rules themselves, practices need to … [Continue reading]
