Top 12 Medical Billing and Practice Management Posts of 2013

Lea Chatham December 30th, 2013

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Happy New Year! It’s hard to believe that 2013 is over. A year goes by so quickly, and everyone is so busy. There are a lot of cool things that get missed because there just isn’t enough time in the day. So we’ve gone back and picked our favorite post from each month in 2013 to share one more time just in case you missed them. They are packed with great information tools, tips, and tricks to help you run your practice more efficiently and succeed in today’s challenging healthcare climate. If your resolution is to keep improving your business in 2014, we’ll be here with many more great posts in 2014!

  1. Start the New Year Right … Don’t Let Deductibles Stand in the Way: January has historically been a slow month because of the deductible reset, but it may not have to be that way. Help patients take advantage of services that are now covered without a deductible.
  2. 10 Questions to Ask Before Hiring a Medical Billing Service: If you are considering outsourcing your revenue cycle management, you have a big decision to make. Who will handle your billing? Here are ten good questions to ask the billing services you talk to.
  3. When Patients Won’t Pay: Patient collections is becoming a bigger chunk of your A/R. Here are some best practices to implement when you are having trouble collecting past due patient balances.
  4. 10 Mistakes to Avoid When Implementing an EHR: Ok, so this isn’t technically practice management or billing, but it is just as important. Many smaller, independent practices will be getting on the EHR bandwagon for the first time in 2014. You need to be sure you do it right the first time.
  5. Should You Charge a No Show Fee?: Many practices are worried about charging fees for no-shows, cancellations, late payments, etc. But times are changing and to survive your practice has to change to. Your time is valuable and you should get paid for it.
  6. Do Your Patients Want a Patient Portal?: All the data suggests that patients not only want you to have a patient portal, but they will consider going to another doctor who has one if you don’t. A portal is about much more than Meaningful Use. It is about meeting patient demands to stay competitive.
  7. ICD-10-CM: 5 Things Physicians Should Know to Prepare: Of course we had to put an ICD-10 post in here. This one discusses things physicians need to know to help them make the transition to ICD-10. For more ICD-10 tools and education, check out the Kareo ICD-10 site.
  8. Patient Centered Care Goes Beyond the Exam Room: Patient centered care is about more than seeing the patient in the exam room. It extends to every aspect of your practice. It is truly about optimizing your practice whether you are looking at Patient Centered Medical Home certification or you are just interested in improving your practice and the patient experience.
  9. Top 8 Customer Service Tips: As healthcare becomes more patient-service oriented, good service becomes more important. Here are 8 great tips to help you improve customer service at your practice.
  10. Can EHR Save the Private Practice: Just one more EHR post because it really is an important part of staying competitive and successful in the face of all the changes coming in healthcare. This post will help show you why that is true.
  11.  5 Ways to Nip Workplace Tension in the Bud: It is easy to forget that part of managing a practice is managing people, and people have conflicts and tension. Learn how to handle and resolve workplace tension.
  12. PQRS – You Can Do It!: There is still time to avoid the PQRS penalty, and anyone can do. Find out how.

Use these tips to help you make improvements as we head into 2014. And if you are looking for more great resources, check out the webinars, white papers, and more blog posts on the Kareo Resources page.

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Don’t Say Bah Humbug to Managing Fee Schedules

Lea Chatham December 26th, 2013

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Do you ask every year around this time if you should really take the time to load your fee schedules? Or if there is enough value in it? Do you find you have a bit of a bah humbug attitude about this process?

The thing is that if you don’t do it, how will you know if you are charging the right amounts and getting paid correctly? You could be letting money slip your fingers.

No other business sells products or services without knowing what they are going to charge for them. Tweet This

There is no doubt that it is tedious. It takes time and resources. But like anything, you can get it done with a little planning and research. In past posts on this topic, practice management expert and Kareo Market Advisor, Rico Lopez has provided the steps needed to tackle this task with ease and efficiency.

In this article, we’ve taken all of his suggestions and streamlined them into a simple 9-step process to help you tackle this project.

  1. Make a Plan: Be realistic in planning the execution of this project. For some, this is a one or two day project, but for others it will require more time. Set a schedule and stick to it.
  2. Identify Your Payer Mix: Figure out your practice’s top insurance plans (number of patients, number of visits, total charges and/or total payments). You will probably find that 75% or more of your practice volume is from  5-10 payers. Focus on the plans that make up the bulk of your revenue.
  3. Get the Fee Schedules: Determine the allowable fee schedules for these top plans and find out the basis for fees. In a survey performed by Kareo, almost 70% of the respondents stated that the majority of their payers base their fee schedule on a percentage of the Medicare allowable rate. Even if only half of your payers utilize this method, the project just became that much easier since most practice management systems today provide a feature that allows you to manage fee schedules based on a percentage of the Medicare allowable. Now that you have reduced the number of fee schedules you need, you can focus on acquiring those not based on Medicare. You can find these in your payer contracts or call your payer representative. If you have no luck with the above, don’t worry, use steps 4 & 5!
  4. Identify Top Procedures: Identify your top procedure codes. This number is going to vary by practice, but ideally you want about 80% of your main procedures. Export this list from your system to an Excel spreadsheet or you can just manually compile it by hand then save it as your fee schedule template.
  5. Find the Hard-to-Find Fee Schedules: For those plans where you have not had any luck obtaining your fee schedules, you have the information and here is how you use it.
    - First, pull the most recent EOBs from the plans where you are missing a fee schedule.
    - Take the spreadsheet template of your procedures (step 4) and fill in the allowables from your EOBs. It may be necessary to pull additional EOBs to complete your table.
    - Save the spreadsheet as a new file with the insurance plan on the file name so you can easily identify it later when you import it to your system.
    - Proceed to the next insurance plan and repeat the same steps above.
    - Organize your fee schedule spreadsheets in a logical folder on your computer for easy access and management. You’ll need them again next year!
  6. Validate the Values: While you are compiling your fee schedules, it is also a good time to verify whether your fees are in line with local rates. A good fee schedule to use for comparison is your local Medicare rates since it is based on relative values and already geographically adjusted specifically to your region.
  7. Gain the Knowledge: On this one, there are no shortcuts. You will need to fully understand the capabilities of your system related to importing and managing fee schedules. Since the method for importing fee schedules will vary from system to system, it is best to utilize the training tools provided by your software and vendor.
  8. Import Fee Schedules: By now you have all the information and knowledge you need to import the fees for your primary payers, and it is just a matter of execution. Prioritize your payers from highest to lowest volume to get your largest payers in first.
  9. Update Fees Regularly: After loading all your fees for this year, create a reminder task to update the fees. Make it easier on yourself by staggering the reminders so you only tackle 1 or 2 fee schedules at a time. If all your fees go into effect on January 1, then start scheduling the reminders in December.

Once you have completed this process, you will never again have to wonder if you are getting paid the right amounts for the services you provide. You’ll know that you are!

If you are still wondering if you have the time and resources at your practice to tackle projects like this one and maximize your billing, it might mean you should consider outsourcing your revenue cycle management. Check out To Hire or Not to Hire a Billing Service to help you decide if outsourcing might be right for you.

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Your Top 7 Questions about Getting Paid in 2014 Answered

Lea Chatham December 24th, 2013

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medical billing tips from Kareo

In her recent webinar, Getting Paid in 2014: What You Need to Know, speaker Elizabeth Woodcock covered an amazing amount of information about what will be happening in medical billing and reimbursement in 2014. There were over 780 participants and a lot of questions. We’ve chosen seven of the top questions to share here.

Q: Where can I find the Medicare new fee schedule?
A: You can find the 2014 Medicare fee schedule at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched.

Q. How long is sequestration going to continue?
A: The Murray-Ryan budget deal passed on December 18. If signed by the President (which is expected), sequestration as it applies to Medicare payments will be extended through 2023. Tweet This

Q: Where do I find the CPT code changes for my specialty?
A: You can order the 2014 CPT® Manual now, along with the book CPT® Changes 2014, both published by the American Medical Association. Most specialty societies also have a “run-down” of the changes, so please do check with your society as well.

Q. When will we start to see reimbursement for electronic consults?
A: Some payers—including Aetna—do offer reimbursement for electronic or “virtual” consults. If yours does not, it may be valuable to request it during negotiations or determine how to bill patients (as a non-covered service, and thus, their financial responsibility).

Q: Are we going to see a move away from FFS to other models with Medicare?
A: The legislation that incorporates the permanent fix to the sustainable growth rate (SGR), which is anticipated to pass in 2014 based on approvals by Congressional committees this fall, all mentions paying physicians based on “quality.” How that will really translate into reimbursement, however, is an unknown at this time.

Q: How do we find out what exchange plans are available in our area?
A: Either the Healthcare.gov website, or simply “Google” on the name of your state and the phrase “insurers participating in ACA exchange.” I was not able to find a site that incorporated all of the states and their payers, but here is a link to a July 2013 study that does list several states— and their insurers.

Q: Where can we find the ICD-10 guidelines, code books and resources?
A: Coding books and other materials are available in many places. You can visit www.ahima.org, www.amazon.com, www.aapc.com, www.medicalcodingbooks.com, www.ebay.com, www.ama-assn.org, www.icd10codebooks.com, or even do a search on Google. There are apps available for both Apple and Android if you search the app store. Groups like AHIMA, AAPC and the AMA also have other training opportunities and tools. For more information, you can visit the Kareo ICD-10 site as well.

If you missed this great event, check out the recording. You can also sign up for the next free webinar at the Kareo resources page.

About the Speaker

Register for Getting Paid in 2014 with Elizabeth Woodcock

Elizabeth Woodcock, MBA, FACMPE, CPC is a professional speaker, trainer and author specializing in medical practice management. She has focused on medical practice operations and revenue cycle management for more than 20 years.

 

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Balancing the Short and Long Term Priorities of Health Information Management

Lea Chatham December 23rd, 2013

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Health Information Management tips from Kareo and Iron Mountain

By Michelle Paster, Healthcare Solutions Marketing Specialist, Iron Mountain

You may know Linda Kloss, president of Kloss Strategic Advisors and former CEO of AHIMA. Linda consults, speaks and writes on healthcare strategy, organizational development and change leadership. Linda has been recognized on Modern Healthcare’s lists of Top 25 Women and Top 100 People in Healthcare. She offers guidance on improving the quality and usability of information assets through effective information management and governance.

As we wrapped up our attendance at the 85th AHIMA conference in Atlanta last month, I had the chance to chat with Linda. Below you can read an excerpt of our chat.

This year’s AHIMA convention was notable for its urgent focus on short-term success with looming compliance challenges—ICD-10, Meaningful Use and expanded privacy regulations. Regarding ICD-10, emotions seemed to range from those who feel prepared because they have taken proactive steps to upgrade technology and train early. They have begun dual coding and are using the findings to improve documentation and analyze impact to the bottom line. Others are scrambling to complete, or even begin, their planning and training. Resources are tightening and stress levels are rising.

The convention was also notable for its glimpse into a future that promises more profound disruption. Future technologies such as ubiquitous video data tools will change how patients and providers communicate. They will also profoundly impact how we manage health information. Changing demographics and the development of pervasive health tools are already blurring the lines between the formal health care system and everyday life.

We were reminded that EHRs are essential foundational technologies paving the way for further innovation. EHRs are not the end game; they are the beginning. Tweet This

Achieving Meaningful Use incentives and reaching HIMSS Stage 7 are important milestones, but they are only markers of progress. Convention speakers and networking sessions focused on pervasive problems in data quality, security breeches, loss of the patient story in current EHRs and consequences that range from nuisance to real patient safety risks. Meaningful Use and Stage 7 won’t get at these issues. Valid, accurate and reliable health information is the lifeblood for all innovation. Only through formalizing enterprise information management (EIM) and governance (IG) will we systematically improve information assets.

In the many conversations I had about our new white paper Redefining the Role of Health Information Management in the New World of Information Governance, HIM colleagues confirmed that the vision for EIM and IG is on target. They acknowledge the need for an enterprise approach to management and governance of information content. They agree that the need for sharp cost reduction requires smarter ways to control records and information management costs across the enterprise and across the life cycle of the information. A growing number of HIM professionals agree with the premise of Redefining the Role: advancing EIM and IG requires shifting resources to higher-value work and working at a more strategic level to improve the value of the organization’s information assets. Many I spoke with were enthusiastic about leveraging EIM and IG to get back to the mission rather than crisis-focused work of HIM.

Gartner’s Vi Schaeffer summed it up well when she stated, “2020 healthcare is inseparable from the next generation information management.” In other words, the opportunities of a technology enabled, person-focused health system will not be realized if we don’t succeed in EIM and IG. We need to make ‘starting on the EIM and IG journey’ a short- term priority, though we can acknowledge that this is a project that may never be fully accomplished.  And 2020 is not far off.

About the Author
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Michelle Paster is the healthcare solutions marketing specialist at Iron Mountain.  In this role Michelle is responsible for the consistent analysis of healthcare market trends as well as the development and implementation of product messaging and positioning for the vertical through key internal and external marketing vehicles.

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4 ICD-10 Tips for General Surgeons

Lea Chatham December 19th, 2013

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Kareo ICD-10 resources

By Lisa A. Eramo

How can general surgeons ensure a successful transition to ICD-10?

The best ICD-10 advice actually applies to all providers: Document the way in which you think clinically. Tweet This

Robert S. Gold, MD, CEO of DCBA, Inc., a company that provides ICD-10 documentation improvement education for hospitals and physician practices, says general surgeons must describe the condition for which they’re performing surgery with as much precision as possible. The words they document should incorporate the same terminology they would use to explain the condition to another physician. This is the only way to ensure accurate code assignment.

Gold provides some tips for general surgeons to help them stay on track now and once ICD-10 goes into effect on October 1, 2014.

Tip #1: Note combination codes for digestive conditions. Certain digestive conditions are now combination codes that require specific information for coding. For example, the code for gastritis and duodenitis (K29.-) requires surgeons to document with or without bleeding. The code for acute appendicitis (K35.-) requires surgeons to specify with generalized or localized peritonitis. The codes for gastric ulcers (K25.-) incorporate acute and chronic as well as with hemorrhage, perforation, or both. Review Chapter 11 of the ICD-10-CM Manual to get a better sense of the type of documentation that’s required.

Tip #2: Document laterality, when appropriate. When a general surgeon operates on a diseased organ that is part of a pair (e.g., legs, hands, ovary, etc.), he or she must document laterality. For example, when a patient undergoes a left upper lobectomy, document the specificity, such as malignant neoplasm of left upper lobe or left mainstem bronchus, as appropriate for the case. Many codes in ICD-10-CM include laterality, and it’s beneficial for general surgeons to review the codes they report most often to determine what documentation is required.

Tip #3: Document the presence of any manifestations. Many ICD-10-CM codes incorporate manifestations, thus necessitating the need for clear documentation so coders can assign the appropriate code. For example, codes for atherosclerosis incorporate claudication, ulceration, gangrene, and rest pain. This is in addition to laterality.

Pay close attention to cholelithiasis (K80.-). Surgeons must document the location of the stones in the biliary tract (i.e., in the gallbladder, bile duct, or common duct) with or without obstruction as well as the presence of any acute or chronic cholangitis (i.e., the presence of any infection of the biliary tract above the stone) or cholecystitis.

Tip #4: Review inflammatory diseases of the abdomen. General surgeons generally operate on the following three inflammatory diseases:

  • Diverticular disease: Diverticular disease (K57.-) can manifest as symptomatic diverticular disease without infection (i.e., diverticulosis), or there may be an inflammation (i.e., acute or chronic diverticulitis). Surgeons must document the specific section of the bowel that includes the diverticulosis or acute diverticulitis. When operating on the large intestine (colon), specify whether the disease affects the right colon (specify cecum, ascending colon, hepatic flexure, or transverse colon) or left colon (specify splenic flexure, descending colon, sigmoid colon, recto-sigmoid junction, or rectum).
  • Ulcerative colitis (K51.-): Document the portion of the bowel that is affected by the disease. This disease usually starts low in the large intestine and progresses upward. Thus, surgeons should identify the most proximal area involved (i.e., rectum, sigmoid colon, left colon, transverse colon, pancolitis).
  • Crohn’s disease (regional enteritis): Document the specific area(s) of the small or large intestine in which the Crohn’s disease (K50.-) exists.  It may involve individual areas (i.e., the duodenum, jejunum, ileum, colon, or rectum), all of the colon, or it may skip areas that involve multiple segments of the intestinal tract.

* Note that all three of the above conditions may have four potential complications, each of which is built into the ICD-10-CM code for the disease itself. These potential complications include:

  • Bleeding
  • Obstruction
  • Fistula
  • Abscess

Be sure to document the presence of any of these complications so coders can assign the correct code.

For more tools and information about ICD-10, visit the Kareo ICD-10 resource page.

About the Author

Lisa A. Eramo

Lisa A. Eramo is a freelance writer/editor specializing in health information management, medical coding, and healthcare regulatory topics. She began her healthcare career as a referral specialist for a well-known cancer center. Lisa went on to work for several years at a healthcare publishing company. She regularly contributes to healthcare publications, websites, and blogs, including the AHIMA Journal and AHIMA Advantage. Her focus areas are medical coding, and ICD-10 in particular, clinical documentation improvement, and healthcare quality/efficiency.

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We’re Wading In … 5 Things to Know about the 2014 Medicare Fee Schedule

Lea Chatham December 17th, 2013

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On Wednesday, November 27, the Centers for Medicare & Medicaid Services (CMS) released its finalized 2014 Medicare fee schedule. The rule was published on December 10 and the new fee schedule goes into effect on January 1.

As always, there is a lot to wade through—some specialties are affected more than others. We know what you care about most is your bottom line. Here are 5 key changes that could have a big impact on your reimbursement:

  1. There is a planned 20.1 percent sustainable growth rate (SGR) cut in Medicare reimbursement for professional services, but this may be repealed by Congress before January 1. According to an article in Medical Economics, “Congressional leaders have a plan that would repeal the SGR and implement a 10-year pay freeze and performance-based incentive program. But it’s unclear whether the proposal will garner enough support to pass before the looming Jan. 1 deadline.” Another article in MedPageToday provides more detail on the proposed SGR repeal and its impact.
  2. The big winners for Medicare payment increases are in mental health — clinical psychologists and social workers (8%), chiropractors (12%), and psychiatrists (6%). Tweet This
  3. Unfortunately, there are also some additional reductions for some specialties such as allergists (-3%), pathologists (-6%), rheumatologists (-4%), and interventional pain management specialists (-4%).
  4. There is now reimbursement for telehealth services in rural areas that qualify as health professional shortage areas. In addition, according to iHealthBeat, telehealth reimbursement rates for originating patient sites will increase from $24.43 to $24.63.
  5. And, there are some new options for reimbursement for chronic care management services that begin in 2015. According to CMS, care management includes the development and implementation of a care plan, patient and caregiver communication, and medication management. Look for more coming from CMS on how this will work.

If you’re interested in learning more about the new Medicare Fee Schedule and other reimbursement changes coming in 2014, join Elizabeth Woodcock for her free webinar Getting Paid in 2014.

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Free Webinar: Getting Paid in 2014 – What You Need to Know

Lea Chatham December 12th, 2013

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Getting Paid in 2014: What You Need to Know
Wednesday, December 18
1:00 PM ET, 10:00 AM PT

Register now for Getting Paid in 2014 with Elizabeth Woodcock

Are you wondering how healthcare reform, ICD-10 and the government’s new value-based modifier will affect your practice in 2014? This is no time to go into retreat mode. In this high-energy educational webinar, national speaker and author Elizabeth Woodcock highlights the key changes in payment for practices in 2014.

Take this webinar’s tactics back to your practice to improve your bottom line in 2014. You’ll come away from this event:

  • Knowing more about the impact of the Affordable Care Act on your practice
  • With an overview the new CPT codes that will go into effect in 2014, as well as ICD-10
  • Aware of the reimbursement changes to the 2014 Medicare Physician Fee Schedule
  • Having some ground rules for participating in the government’s incentive programs for 2014

Who Should Attend? Practice owners and managers, billing managers and billers, and anyone else interested in making sure that your practice gets paid what it’s owed in 2014!

Join the conversation today!  You don’t want to miss this.

Register now for Getting Paid in 2014 with Elizabeth Woodcock

About the Speaker

Register for Getting Paid in 2014 with Elizabeth Woodcock

Elizabeth Woodcock, MBA, FACMPE, CPC is a professional speaker, trainer and author specializing in medical practice management. She has focused on medical practice operations and revenue cycle management for more than 20 years.

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Great Tools for 2014 in Kareo Newsletter

Lea Chatham December 10th, 2013

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The December edition of the Getting Paid Newsletter is packed with information that can help you get ready for 2014. The newsletter also provides a chance to catch up on some interesting industry news, get medical billing tips, and find out how you could win for connecting with Kareo on social media channels. You’ll discover more about how to register for our upcoming free educational webinar, Getting Paid in 2014: What You Need to Know presented by Elizabeth Woodcock. Read all this and more now!

Kareo medical billing tips

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Whew! Another Year for MU2

Lea Chatham December 9th, 2013

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meaningful-use

On Friday, the Centers for Medicare & Medicaid Services (CMS) announced that they are giving providers another year to meet their EHR Incentive Program’s Meaningful Use (MU) Stage 2 criteria. As a result, Stage 3 will be pushed back a year as well.

Under the new guidelines, Stage 2 will be extended through 2016 and Stage 3 won’t begin until 2017 for eligible professionals (EPs) who have completed two years of Stage 2. This change is not unprecedented. CMS pushed back Stage 1 previously when it seemed that providers were struggling to meet the requirements.

According to EHR and Meaningful Use expert Barbara Drury, here is what your schedule will now look like if you started Meaningful Use Stage 1 in 2013:

2013 = MU1/Yr 1
2014 = MU1/Yr 2
2015 = MU2/Yr 1
2016 = MU2/Yr 2
2017 = MU3/Yr 1

And if you get started with Meaningful Use Stage 1 in 2014, it attestation will look like this:

2014 = MU1/Yr 1
2015 = MU1/Yr 2
2016 = MU2/Yr 1
2017 = MU2/Yr 2 (only available to Medicaid)
2018 = MU3/Yr 1 (only available to Medicaid)

Note that for those starting MU1 in 2014 under the Medicare program, you will not get an incentive for MU Stage 3 attestation. This doesn’t mean you shouldn’t attest because there may still be a penalty for not participating. The attestation and incentive period ends for Medicare in 2016. Your total incentive will be $24,000 for three years of participation. However, you will be able to avoid the penalty phase that begins in 2015 if you get started in 2014.

Check out past articles on EHR and Meaningful Use and watch for new resources coming soon.

Note: This Meaningful Use information is subject to change. For the latest updates, visit www.kareo.com/meaningful-use.

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PQRS – You Can Do It!

Lea Chatham December 9th, 2013

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Ok, maybe you’re too busy to manage the full reporting required to get the .5% incentive for 2013, but you can avoid the much larger (1.5%) penalty—and it’s easy! You don’t have to submit the full reporting to avoid the penalty. You only need to submit a single claim. Anyone can do it!

That single claim just needs to report one measure, and you’re done. You avoid the -1.5% penalty, which will apply in 2015 for all of your Part B Medicare claims. The deadline to participate in PQRS to avoid a penalty starting in 2015 is December 31, 2013.

Once you have avoided the penalty for 2013 reporting, you can get focused on 2014. Why? Because all these individual Medicare penalties seem small when you look at them separately but they add up fast. Elizabeth Woodcock provided a great overview of the total penalties in our last PQRS blog post.

All of the information you need on who is eligible, how to participate, what the measures are, etc. is available on the CMS website.  And, the CMS has a provider information call about the new PQRS rule for 2014—with open Q&A—coming up on December 17. If your EMR is certified for direct reporting to the PQRS system, you may even be able to satisfy a Meaningful Use (MU) Stage 1 requirement as well.

Let’s take a quick look at the overview of incentives and penalties for PQRS (and the VBPM program, which also applies a penalty based on PQRS reporting) courtesy of Laurie Morgan, Senior Consultant and Partner at Capko & Morgan, a practice management consulting company.

Kareo PQRS Information

As you can see, the penalties just keep increasing, and when you combine these with other penalties for eRx and MU, it can add up to -11% by 2020. That is not a pittance by any means.

In a recent webinar, Prepare to Profit from the Changing Payment Landscape, hosted by Medical Economics and sponsored by Kareo, Laurie Morgan also answered a few questions about PQRS for the audience that may help you as well:

  1. If I am a new practice starting in 2014, will I penalized for not reporting in 2013 or does the whole thing start for me in 2014?
    If your practice didn’t exist in 2013—meaning you weren’t yet practicing and didn’t see any Medicare patients in 2013—then you would not have been required to report. But, if you are practicing now and seeing Medicare patients, and simply plan to leave your current practice to form your own, then you would have been expected to report.
  2. We are a practice that sees virtually no Medicare or Medicaid patients, should we really bother with PQRS?
    The penalty applies to your Medicare payments in 2015, so if you believe your Medicare volume will increase by then, it is probably worthwhile to report—even if your volume is trivial now.
  3. Can we use G code G8553 to report on our single claim?
    Our assumption is that G8553 is solely for eRx and not PQRS, but this is a great question for the CMS Medicare Learning Network call on December 17.

If you are finding all of these new programs and changes in healthcare reimbursement overwhelming, being able to do one simple step to avoid a penalty is a refreshing option. Don’t miss your chance to avoid the 2015 PQRS penalty. Submit your single PQRS reporting claim now.

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Welcome to Getting Paid, a weblog by Kareo offering ideas, news and opinions about medical billing and practice management with the goal of making medical billing easier and yes, getting you paid. Visit the Product Blog for more information on our products.

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