EHR, CBR, CAQH

Newsletter
February 25, 2013
Chiropractic Medicare
1. EHR-Registration and Attestation System.
( How much will YOU get paid?)
2. CMS A+ Government Solutions – “Comparative Billing Report, CBR Desseminator.
3. CAQH Update Reminder.
1. Meaningful Use:
We can go through the 15 core operatives, the computerized provider order entry (CPOE), drug-drug and drug-allergy checks, up to date problem list of diagnosis, E-Prescripting (eRx), or maintaining active medication list or allergy list....
Wait....it’s better than this!
First impression is that it is very difficult. Not true. It’s much easier than you think. First, you must have a certified “software”. We use “ChiroTouch”. Your certified software will walk you right through the process so you can register and attest. Don’t wait. If you have not moved on this, you are presently in the final window. You are still able to attest and receive $15,000 incentive dollars for 2013.
2. A+ Government Solutions on contract from CMS has faxed again around 5000 Medicare Comparative Billing reports. If you received by fax, this report, then you are now aware you are above your peers in either the number of visits you are seeing your Medicare patients or the CPT Codes used when billing for your Medicare patients. The report is an effort by CMS to educate providers on their billing patterns, this being helpful as an educational tool which may assist you in identifying opportunities for improvement.
Since the Office of Inspector General believes that billing Medicare with the AT modifier over 12 visits per year is medically unnecessary, and that the likelihood of a service being medically unnecessary increases even more significantly after 24 “treatments”, this report should spark your interest.
I recommend reviewing this report very carefully, compare with your in-house records for the report accuracy. If you find the CMS Comparative Billing Report statistics are incorrect, call them for corrections.
3. CAQH – Just a reminder.....the Universal Provider Data Source must be kept up-to-date. If you need to update the CAQH Universal Provider Data Source https://Upd.caqh.org/oas or Provider help desk at (888) 599-1771. Have your CAQH provider ID available.

IMPORTANT DEADLINE 12-12-12 FOR PQRS

Newsletter
December 11, 2012
IMPORTANT DEADLINE 12-12-12 FOR PQRS
(Physician Quality Reporting System)

 

The Chiropractors in our Chiropractic profession have worked for over 100 years to help Chiropractic grow and be accepted by the public. We have been very successful in being included into insurance plans, Medicare, Medicaid, PPO's, etc. However, now that we are in Medicare we have to meet qualifications and demands by the Federal Government to take part in reporting certain quality measures due to healthcare reform.

Please see link to the CMS Website for more information about PQRS (Physician Quality Reporting System):
 https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/downloads/2012PQRS_SatisfRprtng-Claims_Final508_1-13-2012.pdf

To determine if you are eligible to participate in PQRS:  
https://www.cms.gov/PQRS

Even though it is a voluntary program with incentives, it is also a program that will take away from your future earnings if you do not participate.

My guess is about 5 Chiropractors out of every 25 are participating in PQRS. This is NOT A GAME! This is serious business! We are going into the final window of opportunity.

The Physicians Quality Reporting System (PQRS), was introduced by the Centers for Medicare and Medicaid Services, and a new part of healthcare reform. The program created in 2007, established a financial incentive to eligible healthcare professionals to participate in a voluntary quality reporting program. Providers who participate and report quality measures receive a 0.5% payment incentive.

Why is it so important? CMS recently ruled that providers not successfully participating in PQRS by 2013 reporting period (January 1 - December 31, 2013), will have their Medicare reimbursement decreased by 1.5% beginning in 2015, and 2% in 2016. The 2012 reporting period is the last opportunity providers have to voluntarily participate.

It is easier than you think. However, it requires a certified software company to walk you through the paces. Please follow the links and get informed.