Author Archives: James Muir

Meaningful Use Hardship Exemption

CMS Gives New Opportunity to Request MU Hardship Exceptions

CMS Gives New Opportunity to Request MU Hardship Exceptions The Centers for Medicare and Medicaid Services is reopening the period during which providers can apply for an EHR hardship exception and avoid Medicare reimbursement penalties for failure to attest for meaningful use in 2014. The previous exception application deadlines were April 1, 2014 for eligible…

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Get Started

Get Started

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Reform Update: Doc groups concerned over looming Medicare penalties tied to quality reporting

Medical Groups Concerned Over Medicare Reporting Penalties

Medical groups seeking to participate in the 2014 PQRS’ group practice reporting option must register by Sept. 30, yet those who participated in the 2013 program received notice last week if they qualified for incentive payments. If physicians met PQRS quality-measure reporting criteria in 2009 and 2010, they received a 2% bonus of their Medicare…

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Repeat

Repeat

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CMS launches Open Payments website

CMS launches Open Payments website

The Centers for Medicare and Medicaid Services (CMS) has released 4.4 million payment records, totaling nearly $3.5 billion, made from drug and device manufacturers to physicians and teaching hospitals during the last five months of 2013. As a requirement of the Affordable Care Act, CMS has launched its Open Payments website. It currently contains payment…

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WEDI Reports Industry ICD-10 Readiness

WEDI Reports Industry ICD-10 Readiness – Small Practices Lag Behind

While vendors and health plans continue to make progress the Workgroup for Electronic Data Interchange (WEDI) reports that providers are not progressing past where they were before the ICD-10 delay. The switch to the ICD-10 code set was originally scheduled to launch in October of 2014 but has been delayed until October of 2015.  The…

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Regulatory Burden Forces More Staff

MGMA: Regulatory Burden = More Staff

Increasing administrative work also increases costs.  We all know that.  Recently the Medical Group Management Association (MGMA) put the numbers to that fact.  The average cost?  $52,000 per FTE physician. Debra Beaulieu-Volk summarizes these findings in her recent article.  She reports that as regulatory and administrative burdens on medical groups increases, so also does the…

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PQRS

CMS Announces Group Practice Reporting Option for PQRS

Group practices of eligible professionals (EPs) wanting to receive incentives through the Physician Quality Reporting System (PQRS) now have the ability to sign up using the group practice reporting option (GPRO) and avoid payment adjustments in 2016, according to the Centers for Medicare & Medicaid Services (CMS). The 2014 reporting period runs from January 1…

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Losing Money on ICD-10

Why You Can’t Afford to Ignore ICD10

Here is a nice follow-up to my ICD-10 Primer article on the impact of ICD-10 from Alok Prasad.  Alok accentuates that when it comes to ICD-10 coding it is essentially an all-or-nothing situation when it comes to revenue cycle management and reimbursement.  Enjoy. You Can’t Afford to Ignore ICD-10 By Alok Prasad, www.revenuexl.com All medical…

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Medsynergies Optum

BREAKING: Optum buying MedSynergies

MedSynergies, a privately-held company headquartered in Irving, Texas, provides billing, collections, revenue-cycle and other business and consulting services to more than 9,000 physicians and healthcare professionals. It had about $100 million in revenue in 2012, its most recent available data. The company also has several joint ventures with large health systems, including Texas Health Resources,…

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