sblevins's blog


CMS Issues Reminder regarding 5010 Transaction Code Sets

The first compliance milestone for transition to the Accredited Standards Committee X12 Technical Reports Type 3, Version 005010 (Version 5010) electronic health care transaction standards is fast approaching.  “The Version 5010 standards and ICD-10 code

ONC Names EHR Certification Bodies

The Certification Commission for Health Information Technology (CCHIT),

Have you experienced Medicare claims processing issues, post SGR Fix?

It appears that some Medicare contractors are having more difficulty than others adjusting their computer systems to reflect the SGR "fix" and related issues.   

If your like most physicians, falling under the 'bell curve' of E&M coding for 99203 and 99213, how will you be effected by the drastic cuts set for December 1, 2010, approximately 23% less than what you are being paid now, and another 5% to 6% drop on January 1, 2011?

 

Meaningful Use Final Rule Released

The Centers for Medicare & Medicaid Services (CMS) has now published a Final Rule that clearly defines the capabilities that EHR systems must support, the actions EHR users must perform and the measures that will be us

On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010.”  This law establishes a 2.2 percent update to the Medicare Physician Fee Schedule (MPFS) payment rates retroactive from June 1 through November 30, 2010.

House Passes Legislation to "Fix" SGR for 6 months

The House has just passed legislation, H.R. 3962, which would "fix" the SGR problem for the next 6 months. Retroactive to services delivered on or after June 1, the Medicare Conversion Factor will be raised by 2.2%. This will be in place for services provided between June 1, 2010 and November 30, 2010.

6 month SGR "fix"

Here is a summary of the proposal passed by the Senate:
 
Medicare Physician Payment:  Provides a 2.2% increase in reimbursement levels for June-November of 2010.  Spends $6.4 billion over five and ten years.
 

Physician's Quality Reporting Initiative (PQRI) Incentive Payments

On Monday, November 16, 2009, the Centers for Medicare & Medicaid Services (CMS) announced the results for the 2008 Physician Quality Reporting Initiative (PQRI).  More than 85,000 physicians and other eligible professionals who satisfactorily reported quality-related data to Medicare under the 2008 PQRI received incentive payments totaling more than $92 million

CMS to Eliminate Consult Codes effective January 1, 2010

CMS to eliminate the use of all consultation codes (inpatient and office/outpatient codes) on a budget-neutral basis, effective January 1, 2010, in accordance with the 2010 Final Physician Fee Schedule with Comment Period.