Month: December 2013

Didn’t participate in eRx in 2012 or 2013? Here’s what you need to know.

Didn’t participate in eRx in 2012 or 2013? Here’s what you need to know.

If you were not a successful electronic prescriber under the 2012 or 2013 eRx, or Electronic Prescribing Incentive Program:
• You will be subject to a payment adjustment in 2014.
• The final 2.0% eRx payment adjustment will be applied during the 2014 calendar year.
That means you will only receive 98% of your Medicare Part B PFS amount for covered professional service in 2014. CMS will notify you if you are subject to the 2014 eRx payment adjustment.

Medicare EHR Payment Adjustments

If you are eligible to participate in the Medicare EHR Incentive Program:
• If you have not successfully demonstrated meaningful use, payment adjustments will be applied beginning January 1, 2015.
• The adjustment is determined by the reporting period in a prior year.

Additional eRx Impact for Medicare EHR providers with a 2015 Payment Adjustment
If you were not subject to the 2014 eRx payment adjustment:
• Your 2015 EHR payment adjustment will be 1%.
If you were subject to the eRx adjustment:
• Your 2015 EHR payment adjustment will be 2%.

To Avoid Medicare Payment Adjustments

If you successfully participated in the Medicaid or Medicare EHR Incentive Program and demonstrate meaningful use before 2015 or if you are eligible for a hardship exemption, you may be able to avoid the payment adjustment.

Note: If you are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs, you MUST demonstrate meaningful use to avoid the payment adjustments. You may demonstrate meaningful use under either Medicare or Medicaid.
Learn more by reviewing the Payment Adjustments & Hardship Exceptions Tipsheet for Eligible Professionals.
Request an eRx Informal Review
You can request an informal review if you were notified that you will be subject to the 2014 eRx payment adjustment. Informal review requests can be submitted to eRxInformalReview@cms.hhs.gov through February 28, 2014.

For More Information
Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.

Visit the CMS EHR Incentive Programs website

www.sunrize.com

ICD-10 Testing Week: March 3-7, 2014

On October 1, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. To help you prepare for this transition, CMS announces a national testing week for current direct submitters (providers and clearinghouses) from March 3 through 7, 2014.
This testing week will give trading partners access to the Medicare Administrative Contractor’s (MACs) and Common Electronic Data Interchange (CEDI) for testing with real-time help desk support. The event will be conducted virtually. Registration is required.
What you can expect during testing:
• Test claims with ICD-10 codes must be submitted with current dates of service (i.e. October 1, 2013 through March 3, 2014), since testing does not support future dated claims.
• Test claims will receive the 277CA or 999 acknowledgement as appropriate, to confirm that the claim was accepted or rejected in the system.
• Testing will not confirm claim payment or produce remittance advice.
• MACs and CEDI will be staffed to handle increased call volume during this week.
More information is available in MLN Matters® Article MM8465, “ICD-10 Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI).”

www.sunrize.com

Gov. Officials: Meaningful Use Timeline Delay Not a Setback

Federal health IT officials announced last week that stage 2 of the “meaningful use” EHR Incentive Program will be extended through 2016, with stage 3 starting in 2017 for those who have completed two years of stage 2. The move extends stage 2 for one year beyond the original end date, and pushes back the start date of stage 3.

The delay was welcomed by lawmakers and provider groups who had been pushing for delays for months. But back in July, former Office of the National Coordinator for Health Information Technology (ONC) head Farzad Mostashari, MD, insisted that the meaningful use program stay on its original timeline in a Senate hearing. In the hearing, Mostashari said he feared that delaying implementation of the program “would stall progress that’s been hard fought.”

Judy Murphy, RN, FACMI, FHIMSS, FAAN, deputy national coordinator for programs and policy at ONC, does not view the delay in meaningful use’s timeline as a setback. Instead, she points to the program’s successes to date.

“We actually have a joint goal that we monitor and track against with CMS and I think we’re both very pleased with the numbers, particularly in the provider space,” Murphy said in an interview with the Journal of AHIMA. “Look at the kind of progress we’re getting, and to know we’re already outlaying $17 billion (in incentive payments) is actually quite good, and that is the October number given at a policy committee meeting last week.”

In a jointly written blog post announcing the program’s altered timeline, Robert Tagalicod, director of the office of e-health standards and services at the Centers for Medicare and Medicaid Services, and Jacob Reider, MD, acting ONC national coordinator, outlined benefits of the proposed delay:

• More analysis of feedback from stakeholders on stage 2 progress and outcomes
• More available data on stage 2 adoption and measure calculations—especially on new patient engagement measures and health information exchange objectives
• More consideration of potential stage 3 requirements
• Additional time for preparation for enhanced stage 3 requirements
• Ample time for developers to create and distribute certified EHR technology before stage 3 begins, and incorporate lessons learned about usability and customization

Taken from: http://journal.ahima.org/2013/12/10/cms-onc-delay-stage-2-meaningful-use-timeline/#!