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06/20/2011

CORRECTION: This article incorrectly stated the exemption date for providers in 2011, The date is actually March 25, 2011. Providers who enrolled in Medicare on or after March 25 will be exempt from revalidation.

You and your peers must revalidate all provider enrollment information to Medicare by March 23, 2013, Part B News has learned. Only providers who revalidated on or after March 23, 2011 are exempt from the new deadline. The revalidation is very similar to previous revalidation efforts, which require you to verify all provider enrollment data in CMS’s Provider Enrollment Chain and Ownership System (PECOS).

06/20/2011

When a patient’s chart went missing at Cambridge Pediatrics, one of the first places staff members checked were the plastic mailboxes, each labeled with a physician’s name, hanging by the front desk. Six weeks after Cambridge switched to an electronic health records (EHR) system, the mailboxes are empty. “We don’t have to go walking around looking for records much anymore,” says Susan Gateau, practice manager.

06/20/2011
You have two weeks to comply with CMS’s e-prescribing (e-Rx) rule or face a 1% Medicare payment penalty in 2012. You can either make sure your providers send out at least 10 e-prescriptions by June 30, or try to claim an exemption by reporting the appropriate G-code. As the deadline draws near, here are four questions from your peers and the answers from CMS.
06/20/2011

You must meet meaningful use measures and report them to CMS – unless you’re participating in the Medicaid Electronic Health Record (EHR) Incentive Program, like Cambridge Pediatrics. The practice, which implemented an EHR system by eClinicalWorks, found that its five physicians were already meeting some measures. Check out a full-color screenshot of this meaningful use “dashboard," complete with analysis.

06/20/2011

You don’t have to implement electronic health record (EHR) systems alone – how many physician practices have a computer expert, a hardware expert and an EHR expert ready to advise them? Very few, which is why the government set aside hundreds of millions of dollars in grant money to regional extension centers (RECs).

06/20/2011

Your Medicare claims could be used to establish whether or not you deliver adequate care to your patients if CMS finalizes its June 8 proposed rule to allow your data to be extracted and used by qualified third parties. The rule aims to set requirements regarding how your Medicare data is used to measure your performance without violating patient privacy, CMS states.

06/20/2011

The fastest-growing drug codes from 2008 to 2009 encompass a wide variety of clinical conditions, quite different from the type of growth seen from 2007 to 2008. While in both cases unspecified drugs outpace all others in terms of percentage increase in utilization, the newer data shows significant growth in drugs for chronic obstructive pulmonary disease (COPD) and high blood pressure.

06/20/2011

If a patient is presenting to the office for a visit with the physician and during the visit the physician determines the patient would benefit from the administration of two medications, such as Decadron and Rocephin, would it be appropriate to bill the E/M and the drug administration code twice?

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