Archive for March, 2010

21 percent cut to physicians who treat Medicare patients starts in days

Tuesday, March 30th, 2010

If you’ve not heard, physicians are potentially facing a 21.2% CMS fee schedule reduction. This decrease was already delayed, and is set to occur on April 1, 2010. The good news is, the House approved yet another delay in this reduction that would move the effective date to May 1, 2010. The bad news is that unfortunately Congress just recessed for 2 weeks without passing the bill that would in fact extend the decrease.

In response to this failure to take action (by Congress), the Centers for Medicare and Medicaid Services (CMS) has announced a 10 business day freeze on physician Medicare claims starting April 1, 2010, anticipating that Senate Democrats will extend the date for the fee cuts when they return on April 12.

You can read more on this topic on the AMA Web site:
Read the AMA’s statement

Visit our site for more information on our Medical Billing Services and Ingenix CareTracker PM and CareTracker EMR solutions.

Geoff Lusty
Vice President - HST

Known Pitfalls and Proven Methods for a Successful EMR Implementation

Tuesday, March 30th, 2010

EMR implementation is a hot topic these days, and each of our medical billing service clients have the opportunity to work with our integrated CareTracker PM & EMR solution (will also qualify you for the EMR incentives). With each passing day, EMR implementations continue to rise but one of the most important steps in launching your EMR is the first step - choosing the right implementation process.

The (linked) article below does a great job of discussing the known pitfalls and proven methods for successful EMR implementation. Many of the concepts in this article are key in our own EMR implementation process at HST. We are working closely with our EMR partner (and experts), Ingenix, to reduce the cost of implementation and make this transition to EMR as easy as possible. What we do know is that when you implement an EMR you will have to change your current workflows. This “change management” component of an EMR implementation is the key to success. Setting appropriate expectations (on both sides) up front during the process is important and will set yourself up for success during the implementation, training, and go live.

Read the full article

Article above written by Ursula Pennell and Eric Fishman, M.D.

Visit our site for more information on our Medical Billing Services and Ingenix CareTracker PM and CareTracker EMR solutions.

Geoff Lusty
Vice President - HST

For Small-Practice Physicians, HIT Benefits Now Are Within Reach

Tuesday, March 30th, 2010

Graph: Top Barriers to EHR ImplementationHistorically, adopting health information technology (HIT) has been a challenge for small group physician practices – those with 10 or fewer doctors. Cost and complexity have been formidable barriers to small practices, particularly for their small business owners who already operate on thin margins. Perhaps what physicians have feared the most when considering HIT implementation is the potential of disrupting the operations of the practice and, ultimately, the impact on patient care.

Fortunately, recent trends may signal a sea change. Innovation on the part of HIT vendors has begun to reduce the costs of billing and electronic health record (EHR) systems. In addition, the ubiquity of the Internet means these tools can be implemented, updated and accessed more simply and easily. And today, there are significant financial incentives to encourage physicians to consider adopting HIT, even in the smallest practices.

Read the full article here:
http://www.ingenix.com/ThoughtLeadership/Innovations/12012009

Visit our site for more information on our Medical Billing Services and Ingenix CareTracker PM and CareTracker EMR solutions.

Geoff Lusty
Vice President - HST

Understanding CMS Final Rule on Consultation Services

Tuesday, March 30th, 2010

The following is an excerpt taken from a paper done by Tom Darr, MD, Chief Medical Officer, Coding, Reimbursement and Payment Integrity at Ingenix.

“Effective January 1, 2010, the Centers for Medicare and Medicaid (CMS) will no longer pay for office/outpatient and inpatient consults identified by Common Procedural Terminology (CPT(R)) codes 99241-99245 and 99251-99255. In the January 2010 National Physician Fee Schedule (NPFS) these codes now have a status indicator of “I, Not valid for Medicare purposes. Medicare uses another code for reporting of, and payment for, these services. (Code NOT subject to a 90 day grace period.).

Instead consulting physicians and, where appropriate, consulting non-physician providers (NPPs), will report the appropriate evaluation and management codes for their services solely on the basis of the existing rules and guidelines for the use of the relevant visit codes (for example, new or established office/outpatient visit [99201-99215], initial hospital care [99221-99223], or initial skilled nursing facility care [99304-99306]), without any reference to the guidelines that have been employed for the use of the consultation codes in the past.”

For a complete understanding of the ruling, the full document may be found in the “Doc” section, of your CareTracker dashboard (for those clients of ours using the CareTracker PM software), titled “Understanding CMS Final Rule on Consultation Services.

For those who are not a client or are not using CareTracker, click here to view the .pdf version of the document.

Visit our site for more information on our Medical Billing Services and Ingenix CareTracker PM and CareTracker EMR solutions.

Geoff Lusty
Vice President - HST