CMA leaders converge on Capitol Hill to advocate for Medicare fix This week, 25 California Medical Association (CMA) physician leaders were in Washington, D.C., as part of the American Medical Association’s Legislative Week to urge Congress to enact the bipartisan, bicameral legislation that would repeal the Medicare sustainable growth rate (SGR) and institute a new payment system. The group also asked Congress to reauthorize the State Children’s Health Insurance Program, formerly known as Healthy Families, which is set to expire September 2015. Medicare SGR Last year, both houses of Congress were very close to a permanent repeal of the badly broken SGR ... March 2, 2015 Medicare Federal Legislation, Medicare, SGR, Advocacy, Sustainable Growth Rate 0 0 Comment Read More »
CMS extends meaningful use EHR attestation deadline to March 20 The Centers for Medicare and Medicaid Services (CMS) has extended the deadline for physicians to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year. While the original deadline was February 28, physicians now have until 11:59 p.m., EST, on March 20, 2015, to attest. CMS extended the deadline to allow providers extra time to submit their meaningful use data, but urges providers to begin attesting for 2014 as soon as they can. This extension also allows eligible professionals, who have not already used their ... March 2, 2015 Medi-Cal, Medicare EHR, Meaningful Use, Medi-Cal, Medicare, PQRS, CMS 0 0 Comment Read More »
CMS to conduct ICD-10 claims testing for physicians in March and June On October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. To help physicians prepare for this transition, the Centers for Medicare and Medicaid Services (CMS) will be conducting two national testing weeks, from March 2-6 and June 1-5. 2015. These testing weeks will give trading partners access to the Medicare Administrative Contractors (MAC) and Common Electronic Data Interchange (CEDI) for testing with real-time help desk support. While participants will not be able to conduct true end-to-end testing at ... February 26, 2015 Medi-Cal, Medicare CMS, Centers for Medicare and Medicaid Services, ICD-10 0 0 Comment Read More »
Physicians have until Feb. 28 to review 2013 PQRS payments and penalties The Centers for Medicare and Medicaid Services (CMS) announced last week that physicians who believe they received an incorrect Physician Quality Reporting System (PQRS) payment penalty can now use the new Look Up tool to verify information without calling the CMS Help Desk. The PQRS Look Up tool uses the same information that the CMS Help Desk accesses to verify whether a physician is subject to the 2015 PQRS payment adjustment, or if he or she should have received a 2013 PQRS incentive. To utilize the tool, physicians need to ... February 23, 2015 Medi-Cal, Medicare CMS, Physician Quality Reporting System, PQRS, Centers for Medicare and Medicaid Services 0 0 Comment Read More »
Open Payments database available for physician review in April The Centers for Medicare and Medicaid Service (CMS) announced last week that it will make the Open Payments database available to physicians for their review of payments made to them by drug and medical device companies. The Open Payments database is a part of the Physician Payments Sunshine Act, a provision of the Affordable Care Act. Drug and medical device manufacturers are required to report their financial interactions with licensed physicians – including consulting fees, travel reimbursements, research grants and other gifts. Any payments, ownership interests and other “transfers of ... February 18, 2015 Medi-Cal, Medicare Physician Payments Sunshine Act, Affordable Care Act 0 0 Comment Read More »
CMS announces it will work to reduce meaningful use reporting burden After repeated calls for changes from the American Medical Association (AMA), the California Medical Association (CMA) and other physician groups nationwide, the Centers for Medicare and Medicaid Services (CMS) announced that it would address the meaningful use issues raised by providers and make changes to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program to “reduce the reporting burden, while supporting the long term goals of the program.” CMS said it would issue new rules governing the program this spring. Beginning January 1, 2015, Medicare physicians who have not ... February 5, 2015 Medi-Cal, Medicare CMS, EHR, Electronic Health Records, Meaningful Use, Centers for Medicare and Medicaid Services 0 0 Comment Read More »
CMS announces it will shorten meaningful use reporting to 90 days in 2015 After repeated calls for changes from physician groups nationwide, the Centers for Medicare and Medicaid Services (CMS) announced it would issue new rules this spring to shorten the meaningful use reporting period in 2015 to 90 days for providers under the Medicare and Medicaid Electronic Health Record Incentive Programs. The new rule is intended to be “responsive to provider concerns about software implementation, information exchange readiness, and other related concerns in 2015,” wrote CMS Deputy Administrator and Chief Medical Officer Patrick Conway, M.D., in a blog published on the CMS ... January 30, 2015 Medi-Cal, Medicare CMS, EHR, Electronic Health Record, Meaningful Use, Centers for Medicare and Medicaid Services 0 0 Comment Read More »
CalHIPSO seeks physicians to sign up for free practice transformation assistance The California Health Information Partnership and Services Organization (CalHIPSO) is applying for a grant from the Center for Medicare and Medicaid Services (CMS) to give California physicians access to free health practice improvement tools and services that would normally be cost prohibitive. The California Medical Association was a founding member of CalHIPSO, which was established in 2009 as a federally designated Regional Extension Center to provide education, outreach and technical assistance to help physicians select and implement electronic health records. To win this grant, CalHIPSO must show commitment and interest ... January 22, 2015 Medi-Cal, Medicare Health Information Technology, CalHIPSO, HIT 0 0 Comment Read More »
CMS to hold Medicare claims for first two weeks of January Last week the Centers for Medicare and Medicaid Services (CMS) announced it would hold claims for services paid under the 2015 Medicare physician fee schedule due to technical errors discovered after the new fee schedule was published. Medicare Administrative Contractors (MACs) will hold claims containing 2015 services for the first 14 calendar days of January 2015 (Thursday January 1 through Wednesday January 14) to allow time for CMS to correct the errors. The hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are ... January 6, 2015 Medicare Medicare, Centers for Medicare and Medicaid Services 0 0 Comment Read More »
CMA creates new resource summarizing Medicare incentive and penalty programs Over the past few years, Congress has created a number of programs that call for payment incentives and reductions (referred to as “adjustments” by the Centers for Medicare and Medicaid Services) that impact physicians and their practices. At their inception, most of these programs offered an incentive to participate. However, most of the programs are entering their penalty phases, with complex and potentially conflicting requirements and implementation processes. To help physicians understand how these programs will affect their practices, the California Medical Association (CMA) has created a new resource, “Medicare ... December 18, 2014 Medicare Medicare, Incentive Programs 0 0 Comment Read More »
