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Yea or Nay? See Which QPP 2018 Proposals Came Through in the Final Rule

14. December 2017

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Back in July, TCI SuperCoder blog had a post about the proposed 2018 Quality Payment Program (QPP) rule, a program established under MACRA. Now that the final rule (with comment period) is out, let’s see how some of those proposals fared. Small Provider Exemption/Low-Volume Threshold Proposal: The proposed rule included adjusting the 2017 low-volume threshold […]

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Transition and Flexibility Are the Buzzwords for QPP 2018 Proposed Rule

18. July 2017

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CMS released the proposed 2018 Quality Payment Program (QPP) rule on June 20. To sum up the 1,000+ pages, 2018 will be something of a transition year like 2017 was for QPP, which was established under MACRA. If you read through the various summaries available, you’ll see the term “flexibility” used quite often, with specialty […]

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Don’t Let EHR Tempt You to Upcode E/M Services

27. June 2017

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EHRs can assist with many aspects of E/M coding (like tracking for coding based on time), but the problem of reporting higher-level E/M codes without medical necessity is still around. A recent article in Ophthalmology Coding Alert discussed the example of a doctor who billed almost all level-four and level-five E/M codes for established patients. […]

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Don’t Get Too Comfortable With That Meaningful Use Payment – Here’s Why

20. June 2017

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When the title of an OIG report is about Medicare paying out hundreds of millions it shouldn’t have, that’s not great news for Medicare or the providers who got those funds. But that’s exactly what a report released June 12, 2017, says: “Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did […]

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Translate HIMSS17 Tips Into Career Advice for 2017

24. February 2017

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This past week, two of our newsletter editors from The Coding Institute attended health IT conference HIMSS17 and Tweeted highlights from sessions. One point that came through loud and clear is that no matter what job you have in healthcare, data connections are so intertwined you have to expand your thinking beyond your own department. […]

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Managing Your EHR Meaningful Use Expectations

22. February 2016

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So what’s next for Meaningful Use, that part of the American Recovery and Reinvestment Act of 2009 (ARRA) that established the Electronic Health Record (EHR) Incentive Program? For the immediate future, providers can expect the Meaningful Use program to proceed as planned with incentives and penalties. The incentives were the “carrot” portion of Meaningful Use, […]

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CMS Promises Future Without Meaningful Use Program

22. January 2016

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The Centers for Medicare and Medicaid Services (CMS)’s recent announcement of the end of Meaningful Use made headlines in healthcare circles because less than a year ago, the agency’s leadership seemed committed to Stage 3 of Meaningful Use through 2018 and beyond. Learn the Motivators Behind CMS’s Announcement What changed? Unrelenting pressure from healthcare industry groups like […]

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Learn the Latest Meaningful Use Requirements for Your Practice

14. January 2016

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Wondering what’s up with the Centers for Medicare and Medicaid Services’ EHR program for 2016? CMS released its final rule for stage 3 of the Electronic Health Record Incentive Program in October, and it features modifications to meaningful use (MU). First, A Meaningful-Use Memory Jogger In case you’ve been thinking about other things besides electronic […]

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Avoid EHR Unintended Consequences With Good Follow Through

7. January 2016

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Most practices in the United States now use electronic health records (EHRs) for the tasks of recording, storing, and retrieving medical information. Providers and staff cite the convenience of being able to access patient information remotely or search patient record databases for specific information like a blood pressure reading on a specific date. But as […]

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Providers Leery of Embracing mHealth Because of Privacy Concerns

5. January 2016

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Many medical practices, attracted by the potential of mobile health or mHealth applications to engage patients, hesitate to embrace this technology because of concerns of HIPAA compliance. Though there are some apps with absolutely no risk of HIPAA breach, like SuperCoder’s handy ICD-10 app, other patient-centric mHealth apps carry that risk. With hundreds of thousands of mHealth apps […]

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