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Physician Quality Reporting System (PQRS) - Avoid Payment Adjustment by Reporting in 2013Thursday, August 8, 2013 12:00 - 1:00p.m. (MT)
Save the Date!
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Learning and Action Network: Discovery Learning Series
Every 2nd & 4th Wednesdays of the month from 3:00 - 4:00 p.m. (ET)
Please join us for a series of
interactive, dynamic adult learning events that will cover a series of quality improvement topics.
Whether you are planning your next staff meeting or participating in a Learning & Action Network, these sessions will be highly interactive, engaging, disciplined, fast-moving and content rich.
Click here for more information
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Please let us know if you found this month's edition useful, or if you have suggestions for the focus of future articles.
We are sending you this monthly publication to spread the news on information relevant to your clinic and to inspire you to keep up the good work. Please feel free to forward this newsletter by using the "Forward this email" button at the bottom of the email. Each edition will also be archived on our website. You may
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Greetings!
Welcome to the Clinically Speaking eNewsletter. We hope you find this monthly newsletter a valuable resource as we keep you updated on healthcare specific issues, such as; diabetes care, health information technology, cardiac care, and upcoming events that are relevant to your work.
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Physician Quality Reporting System (PQRS) - Avoid Medicare Payment Adjustment by Reporting in 2013
David R. Cook, MBA,
Director of Operations, Utah, HealthInsight
Eligible providers who do not report to Medicare as part of the Physician Quality Reporting System (PQRS) in 2013 become subject to a negative payment adjustment of 1.5% of total Medicare payments starting in 2015. Eligible providers include physicians, practitioners, and therapists. For a full list of eligible providers click here. The best way to avoid this adjustment is to successfully report quality measures, in most cases three measures, by way of one of the many PQRS reporting routes (e.g. EHR Direct, Data Submission Vendor, Claims-based, Registry reporting, or Group Practice). Which route is best for you depends on your situation and what electronic system is used. By reporting successfully in 2013, providers qualify for a small incentive payment (0.5%), receive quality feedback reports on the measures reported, avoid the payment adjustment, and prepare for the upcoming value based payment modifier. Read more. . .
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Nevada Healthcare Providers Set to Leave $149 Million Dollars Unclaimed
Nevada Healthcare Providers have already left as much as $36 Million on the table in EHR incentive funds and unless they take action in the near future even more is at risk.
According to CMS, as of May 2013, 1,300 Medicare eligible professionals (Services, 2013) have received payment for achieving Meaningful Use in the State of Nevada. These eligible healthcare professionals are responsible for bringing in a total of $21,234,084 to the Nevada economy. While this amount is an impressive dollar amount, there are still as many as 2,919 eligible professionals that have yet to attest to Meaningful Use and time to do so is running out! Read more. . . |
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Apply Today for the Physician Office HealthInsight Quality Award!
The Physician Office HealthInsight Quality Award aims to promote excellence in health care. By using available quality data to identify gaps in care, high performing physician office practices will improve the quality of health care they provide. The 2013 Physician Office HealthInsight Quality Award will be presented to physician office practices that meet the following criteria:- Exemplary performance on nationally-recognized clinical outcome measures,
- Regular use of population care management methods,
- Participation in a data reporting quality initiative; and
- Patient engagement tools and strategies incorporated into care processes.
Click here for more information. View and complete the HealthInsight Quality Award application. Please note: The award application formatting in Internet Explorer may not be ideal. We recommend using Firefox or Chrome. |
Privacy and Security -
More Important than Ever
Carlyn M. Choate, MSHI, CHPS
HIT Project Coordinator, HealthInsight
HealthInsight and the Nevada Regional Extension Center want all physicians to be apprised of the complexity of meeting the requirements for Core Measure 15- Privacy and Security. As we know from the recent security breaches across the country, organizations, physicians, covered entities, and their business associates must maintain vigilance in protecting health information. Taking these requirements seriously will ensure Meaningful Use payments and protect practices, patients, and organizations from potential breaches.
If you are one of the many providers who have successfully reached Meaningful Use, you may not be aware, but early adopters to the Electronic Health Record (EHR) Incentive Program have been subject to Meaningful Use Attestation audits to verify the accuracy and validity of core and menu measures reported to the Centers for Medicare and Medicaid Services (CMS). Read more... |
Tell Us Your Story!  You've heard from us, now we want to hear from you! What activities or interventions are you and your team currently working on that might help others in their work? Are there lessons you have learned along the way - both successes and failures - from your work with patients, family members, or providers that you are willing to share. Please email us and briefly describe in a a few sentences your story!
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About Our Work
This information is provided by HealthInsight, a private, non-profit, community-based organization dedicated to improving health and health care. HealthInsight serves as the Medicare Quality Improvement Organization, Health Information Technology Regional Extension Center for Nevada, and manages HealtHIE Nevada, the state's first community-based health information exchange. HealthInsight leads an initiative to improve diabetes care, cardiac care, population-based care, and improve the use of health information technology. To learn more about us, visit our website at: www.healthinsight.org |
This material was prepared by HealthInsight, the Medicare Quality Improvement Organization for Nevada and Utah, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 10SOW-NV-2013-PO-20This material was prepared by HealthInsight as part of our work as the Regional Extension Center for Nevada and Utah, under Cooperative Agreement #90RC0033/01 from the Office of the National Coordinator, Department of Health and Human Services. |
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