McKesson

CMS Announces July 2015 Transition from IACS to EIDM

CMS 

The Centers for Medicare & Medicaid Services (CMS) would like to inform Physician Quality Reporting System (PQRS) participants and their staff to an important system update scheduled to be in place on July 13, 2015.


The Individuals Authorized Access to CMS Computer Services (IACS) system will be retired, but current IACS user accounts will transition to an existing CMS system called Enterprise Identity Management (EIDM). The EIDM system provides a way for business partners to apply for, obtain approval, and receive a single user ID for accessing multiple CMS applications.


Existing PQRS IACS users, their data, and roles will be moved to EIDM and will be accessible from the ‘PQRS Portal’ portion of the CMS Enterprise Portal at  http://portal.cms.gov. Users will then access the PQRS Portal to submit data, retrieve submission reports, view feedback reports, or conduct various administrative and maintenance activities. New PQRS users will need to register for an EIDM account.


Stay tuned for more information and resources in the coming weeks and months! In the meantime, please ensure that your IACS account is active, current, and you’re able to log in. This will help ensure a smoother transition to EIDM.


For additional assistance regarding IACS or EIDM, contact the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222) from 7:00 a.m. to 7:00 p.m. Central Time Monday through Friday, or via email at qnetsupport@hcqis.org. To avoid security violations, do not include personal identifying information, such as Social Security Number or TIN, in email inquiries to the QualityNet Help Desk.

New EHR Attestation Deadline

New EHR Attestation Deadline for Eligible Professionals:
March 31, 2014

CMS is extending the deadline for eligible professionals to attest to meaningful use for the Medicare EHR Incentive Program 2013 reporting year from 11:59 pm ET on February 28, 2014 to 11:59 pm ET March 31, 2014.
In addition, CMS is offering assistance to eligible hospitals who may have experienced difficulty attesting to submit their attestation retroactively and avoid the 2015 payment adjustment.
This extension will allow more time for providers to submit their meaningful use data and receive an incentive payment for the 2013 program year, as well as avoid the 2015 payment adjustment.
This extension does not impact the deadlines for the Medicaid EHR Incentive Program or any other CMS program, including the electronic submission for the Physician Quality Reporting System EHR Incentive Program Pilot.

How to attest?
If you are an eligible professional, you may use the registration and attestation system to submit your attestation for meaningful use for the 2013 reporting year. You must attest prior by 11:59 pm ET on March 31, 2014 to meet the new 2013 program deadline.
If you are an eligible hospital, you may contact CMS for assistance submitting your attestation retroactively. You must contact CMS by 11:59 pm on March 15, 2014 in order to participate for the 2013 program year.

Resources
If you are an eligible professional working on your attestation for the 2013 reporting period, there are resources available to help you with the registration and attestation process.
Stage 1 Meaningful Use Calculator
Registration and Attestation User Guides
EHR Incentive Program Website
The EHR Information Center is open to assist you with all of your registration and attestation system inquiries. Please call, 1-888-734-6433 (primary number) or 888-734-6563 (TTY number). The EHR Information Center is open Monday through Friday from 7:30 a.m. – 6:30 p.m. (Central Time), except federal holidays.

Tips
In addition, there are some simple steps you can take which will help to make the process easier for you:
• Ensure that your payment assignment and other relevant information is up to date in the Medicare payment system PECOS
• Make sure to include a valid email address in your EHR program registration
• Consider logging on to use the attestation system during non-peak hours such as evenings and weekends
• Log on to the registration and attestation system now and ensure that your information is up to date and begin entering your 2013 data
• If you experience attestation problems, call the EHR Incentive Program Help Desk and report the problem
• If your organization has more than 1,000 providers assigned to a proxy user, use the PECOS system to designate additional proxies to facilitate attestation.

Eligible Hospital Instructions:
1. Send the following information to EH2013Extension@Provider-Resources.com no later than 11:59 PM EST on 3/15/2014:
o CCN
o Hospital Name
o Contact Person Name
o Contact Person Email
o Contact Person Phone
2. Type “EH 2013 EXTENSION” in the subject line of the email note
3. Each Hospital must be identified in a separate email
CMS will contact the person that you designate in your request to provide additional instructions regarding the Eligible Hospital 2013 attestation submission.

How to Prepare For, Survive an EHR Meaningful Use Audit

Posted from AAFP News Now:

Use of the words “audit” and “Medicare” in the same sentence tend to make even the most seasoned physician uncomfortable. So when the news broke in March that CMS had added prepayment meaningful use (MU) audits to its ongoing postpayment audit process, some family physicians expressed concern.

Understanding that a little knowledge can go a long way toward alleviating anxiety, AAFP News Now recently spoke with a government expert about how physicians can prepare for MU audits associated with the Medicare Electronic Health Records (EHR) Incentive Program.

Rob Anthony, deputy director of the Health IT Initiatives Group for CMS’ Office of E-Health Standards and Services, noted that as many as 10 percent of program participants would face an audit. “Keep in mind that the audits are both random and targeted,” said Anthony, so physicians shouldn’t assume they’ve made an error if they receive an e-mail audit notification from Figliozzi and Co., the certified public accountant firm selected by CMS to conduct the audits.

“We’re required to do due diligence on our end,” said Anthony, and that includes robust oversight of a government program that disperses taxpayer dollars in the form of physician bonuses that can total as much as $18,000. According to Anthony, the audit process is the same regardless of whether physicians are notified before or after they are issued a check for successfully meeting MU program requirements.

“The first thing we always tell people is that if you’ve entered accurate numbers (in the MU attestation process) and have the documentation to support that, then the audit is a really simple process for this program. You’re simply showing (auditors) supporting documentation,” said Anthony.

For the vast majority of people, the primary support document is the report generated by a certified EHR because it generally provides both the numerator and denominator values needed for MU attestation.

“It’s important to make sure the report specifies a time period and indicates that it is specific to you as a provider,” said Anthony. That’s as easy as including a National Provider Identifier, provider name or practice name.

Anthony noted that some certified EHRs provide a “snapshot in time,” meaning that the physician can go back to any 90-day period, and the system always shows the correct numerator and denominator values for that period. However, many EHRs don’t have that function and instead use what Anthony called a “rolling system” that changes the values of the numerators and denominators after the reporting period ends.

In that situation, he advised physicians to “save either a paper or an electronic copy of the report you used to attest so that when an auditor comes knocking and asking for supporting documentation, you can hand him a report that shows the numerator and denominator values that you entered (for attestation) rather than something that might have changed later down the line.”

A number of physicians also have had trouble complying with what Anthony called the “yes/no functionality issues” that require specific EHR functions — such as drug allergy interaction checks and clinical decision support — to be turned on during the entire reporting period.

“Some systems have an audit log that shows that you have functionality enabled for the entire reporting time, but many systems don’t,” said Anthony. If your system doesn’t, save one or more screen shots that are dated from the reporting period to which you are attesting.

One additional area that has snagged numerous physicians is the security risk analysis. “This doesn’t impose any additional requirements beyond what’s already required for a security risk analysis for your practice as part of HIPAA (the Health Insurance Portability and Accountability Act),” said Anthony. “The only difference is that we require it more frequently,” or every year for MU versus every two years for HIPAA purposes.

Anthony warned that a “generalized” security risk analysis wouldn’t meet the MU audit requirement. “You need something that shows it (an analysis) was done before the end of the reporting period and that shows it is specific to your certified EHR and your particular practice. Information that is dated and specific to you goes a long way for a lot of these requirements.”

Lastly, Anthony advised physicians to direct any audit questions to Figliozzi and Co., including requests for clarification about requested documents as well as requests for additional time to comply.

Anthony summed up how to make the audit process go smoothly: “If you’ve input the numbers correctly and accurately, and you have the documentation to show how you got there, the audit process is simple. You’re not generating new information.”

Additional resources can be found by clicking the following links:

CMS: EHR Incentive Program Supporting Documentation for Audits

CMS: Audit Overview Fact Sheet

CMS: Sample Audit Request Letter

 

 

Deadline for avoiding e-prescribing penalty is fast approaching.

The 2% penalty is the punitive side of a federal program designed to motivate physicians and other clinicians to replace their prescription pads with iPads, smart phones, and the like. In 2010, the Centers for Medicare & Medicaid Services (CMS) began paying bonuses to clinicians who e-prescribe for their Medicare patients. The bonus that year was 2% of a clinician’s Medicare reimbursement. In 2013, the final year for these incentive payments, the bonus is 0.5%.

Last year, Medicare began penalizing clinicians who had not previously qualified as “successful electronic prescribers,” in CMS parlance, or electronically transmitted at least 10 scripts for Medicare patients in the first half of the 2011. That number of e-prescriptions, reported to CMS through G codes on Medicare claims, is not enough to earn a bonus, but it staves off the penalty, which was 1% in 2012. The penalty disappears after 2014.

Clinicians will be exempt from the 2% penalty in 2014 if they:

  • qualified for an e-prescribing bonus during 2012;
  • did not have at least 100 Medicare claims in the first 6 months of 2013 with 1 of the 50-plus billing codes that must be associated with an e-prescription for it to count toward the bonus;
  • did not generate 10% or more of their Medicare allowable charges in the first 6 months of 2013 with the required billing codes;
  • were not a physician, podiatrist, nurse practitioner, or physician assistant as of June 30;
  • achieved “meaningful use” under the Medicare or Medicaid incentive programs for electronic health record (EHR) systems in either 2012 or the first 6 months of 2013, and reported that to CMS by June 30, 2013;
  • registered to participate in one of the EHR incentive programs by June 30 and adopted certified EHR technology; or
  • Lacked prescribing privileges and indicated that with code G8644 at least once on a Medicare claim before June 30.

Clinicians also can apply for one of several hardship exemptions, which include practicing in a rural area without sufficient high-speed Internet access and being barred by local, state, or federal law from e-prescribing. The deadline for a hardship exemption application, accomplished with a G code on a Medicare claim, is June 30.”

More information about avoiding the Medicare e-prescribing penalty is available on the CMS Web site, or feel free to give us a call-888-880-0384

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Seven Value Propositions for Practice Choice

7 Value Propositions of McKesson Practice Choice

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1.      Lowers Cost of traditional EHR/PM Technology ·
         Avoid costly servers and IT staffing using a Web-based solution
         Learn, setup, & maintain one integrated solution
         Practice Management
         Health Records
         Patient Portal
         e-Prescribing
         Claims Engine including ERA, Electronic Eligibility Checking & Relay Health EDI.
         Low-hassle rolling upgrades always keeps your practice current and compliant
         Automatic backups & security
2.    Is Intuitive, Designed for the Small Independent Medical Office
         Be at ease with McKesson – a leading healthcare company that’s been in the EHR space for over 20 years
         Be confident in an built-from-the-ground up investment using Microsoft’s latest technology stack designed specifically for the independent practice
         Be efficient with our multiple role layout. We studied this space specifically, and laid out the software considerate of the many hats you wear during the day
         Learn easily and train new staff with integrated training videos, guides, and online help.
        Share best practices online chatting with other Choice practices like your own
3.       Protects Cash Flow
         Check patient eligibility real-time to guarantee reimbursement
         Ensure recommended procedures are performed to benefit patient health and encourage visit volume
         Improve collections by taking visit and account payments at check-in
         Embedded Claim/ERA services with auto-posting keeps cash moving
4.    Helps you Go Electronic without compromising Patient Care
         Avoid excessive clicking with single screen documentation that mimics paper
         Smart Notes design enables clinicians to pull and push data from the chart while you build the note
         Gain efficiency using natural terminology to search codes
         Care for patients with a powerful cross sectional chart summary
5.       Creates New Efficiencies with Technology
         Make patient care simpler via electronic prescriptions with clever interaction checking
         Maximize reimbursement with insurance-preferred labs automating when creating an order
         Save time eliminating paper lab results via an electronic connection
6.    Enhances Patient Touch
         Supplement patient-provider interaction with electronic messaging
         Give patients and their providers a consolidated health summary in-hand or electronically
         Quickly manage refill requests online
         Keep patients informed via patient education material summaries
7.       Gains Visibility to the Health of your Patient and Practice
         Speedily generate patient lists and reminders to communicate with the right audience
         Benchmark yourself against Meaningful Use performance and clinical quality measures
         Interrogate your financial health with comprehensive report generation

For additional information please visit our website at www.sunrize.com or call 502-538-4665.

Mandated Sequestration Payment Reductions Beginning for Medicare EHR Incentive Program

Incentive payments made through the Medicare Electronic Health Record (EHR) Incentive Program are subject to the mandatory reductions in federal spending known as sequestration, required by the Budget Control Act of 2011.

Incentive Payment Reduction

The American Taxpayer Relief Act of 2012 postponed sequestration for two

months. As required by law, President Obama issued a sequestration order on March 1, 2013. Under these mandatory reductions, Medicare EHR incentive

payments made to eligible professionals and eligible hospitals will be reduced by 2%.

Reduction Timing

This 2% reduction will be applied to any Medicare EHR incentive payment for a reporting period that ends on or after April 1, 2013. If the final day of the reporting period occurs before April 1, 2013, those incentive payments will not be subject to the reduction.

Please note: This reduction does not apply to Medicaid EHR incentive payments, which are exempt from the mandatory reductions.

Want more information about the EHR Incentive Programs?
Make sure to visit the EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.

http://www.sunrize.com

Practice Choice EHR

 

McKesson Practice Choice Web Image - Product Name (Color)

 

McKesson Practice Choice™ is a cost-effective Web-based electronic health record (EHR) and practice management (PM) solution inspired by small, physician practices just like yours.   Intuitive and efficient, McKesson Practice Choice does more than maintain records and protect cash flow; it has the power to improve the quality of your patient interactions.
When care is your priority and simplicity is your choice

With 20+ years developing PM and EHR technologies, McKesson understands the juggling act of the small, physician practice, and is committed to utilizing technology to make your life easier, flexible and more efficient. That’s why McKesson Practice Choice is more than an EHR product — it’s a comprehensive, full-practice solution.
Utilizing a SaaS (Software as a Service) model, McKesson Practice Choice allows physician practices to exchange data with other practices, patients, HIEs, hospitals, pharmacies, labs and payers. These connections help to streamline care coordination, to enhance patient care, and to position your practice for the future direction of healthcare.
One solution for your entire office

Simplify your administrative overhead and learning curve with just a single solution: choicepic

• Electronic Health Record (EHR)
• Practice Management (PM)
• Patient Portals
• Patient Health Maintenance Tracking
• e-Prescribing
• Claims Management

One Choice for Connecting Providers, Payers and Patients

Progress Notechoice2 Featuring Smart Note Technology

Spend less time charting and more time interacting with your patients, as everything you enter automatically flows data into all pertinent fields throughout a chart.

• Document on a single screen while pulling and pushing
data from anywhere in the patient’s chart.
• Search codes using natural terminology and view
cross-sectional chart summaries.
• Create a template that suits your note-taking preferences

Billing and Schedulingchoice3

Utilizing intuitive drag and drop technology and simple organiza

tio

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McKesson Practice Choice brings needed efficiencies to a busy front office.


Meaningful Use Dashboard and Reporting

From a single screen, gauge your progress in real time for both core and selected requirements, and gain an instant view of your practice’s performance. Also, customizable controls allow you to observe detailed performance levels of every member of your practice.

Need more information?  Call us at 888-880-0384 or visit us on the web at http://www.sunrize.com.

 

EMR in the clouds…what does that mean anyway?

If I had a nickel for every time someone asks me what SaaS means (and I see you, scratching your head now trying to come up with what that acronym means), I’d be richer beyond my wildest dreams.

According to Wikipedia, “Software-as-a-Service (SaaS, pronounced sɑs), sometimes referred to as “on-demand software”, is a software delivery model in which software and associated data are centrally hosted on the cloud. SaaS is typically assessed by users using a thin client via a web browser.”

What does that mean exactly?

It means, you would log on to web browser (Internet Explorer, Firefox, Chrome, etc.), type in a web address, and enter a username and password to access your data. If you file your income taxes, for example, using an online service you are essentially using a SaaS based program.  Your practice could be portable in the sense that you could log on anywhere you have an secure internet connection.  The disclaimer here is you wouldn’t want to go to Starbucks and run your practice (not secure).  Efficient-I think so, but SaaS may not be for everyone.

Some factors to consider when looking at a SaaS based EMR are:

1. Does your practice have good internet speed?  If not, check with your internet service providers to see what is available.  Make sure to factor this in when calculating your monthly fees.

2. Does your practice have a reliable internet connection?  Speed is one thing, but if you live in an area where the internet connection is choppy, you may want to either consider switching providers or looking at a server-based product.  There is nothing worse than not being able to get on the internet to access your charts.

3. Are you a small practice without an IT staff?  The greatest thing about having a SaaS based EMR program is that you are not going to be down when your server needs to be upgraded.  Keep in mind that not only will your EMR software need to be updated your Windows software will also need to be updated from time to time.  Factor in the cost of hardware when considering which way to go.  Servers are no immortal-they have a life span like everything else.

If you answered YES to all of the above, then having a SaaS based EMR program may save you both money and headaches.

If you would like additional information please log on to www.sunrize.com

McKesson Practice Choice Web Image - Product Name (Color)