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Chiropractic Software Companies Merge

 

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WCB Chair Announces Board Adoption of ICD-10 Timetable to be Consistent with Medicare and Medicaid

 

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BREAKING: CMS bends on reporting periods for meaningful use

The CMS just blinked in the ongoing cold war between providers and the agency over meaningful-use requirements for electronic health-record systems.

The CMS announced Thursday that it is considering proposals to shorten the meaningful-use reporting period to 90 days in 2015, something providers and others have been requesting. 

Shortening the period essentially means providers can meet the meaningful-use requirements and avoid financial penalties with software in place for less time than is currently required.

The College of Healthcare Information Management Executives, a key advocate for changes in the reporting period, was positive about the announcement. “It is indeed” what the organization was looking for, said Jeff Smith, the organization's vice president of public policy. 

In a separate statement, Russ Branzell, CHIME's president and CEO, said, “Meaningful use has the potential to be a transformative program for the nation's healthcare delivery system and we commend CMS for recognizing the need for a course-correction.”

The Medical Group Management Association and the American Medical Association praised the CMS for agreeing to modify the window, and they urged the agency to issue the new rule quickly. The MGMA noted that the number of physicians who have attested to meeting the program's Stage 2 requirements dropped sharply from the number who cleared the first bar.The AMA, meanwhile, also took a broader swipe at the program, saying that it fails to "help physicians improve care for their patients." 

The CMS also is considering changing reporting periods to the calendar year to “allow eligible hospitals more time to incorporate 2014 Edition software into their workflows and to better align with other CMS quality programs,” and will “modify other aspects of the program” that may lessen providers' reporting burdens. 

The CMS clarified that the rulemaking on reporting period flexibility will be separate from the upcoming third-stage meaningful-use rule, which may be released in March. 

The changes may mollify calls from providers and legislators to change reporting periods. Rep. Renee Ellmers (R-N.C.) and 29 fellow House Republicans had sent a letter to Sylvia Matthews Burwell grousing about the reporting periods in the program. Bipartisan legislation also had been introduced by Ellmers and then-Rep. Jim Matheson (D-Utah) to change the reporting periods. 

Follow Darius Tahir on Twitter: @dariustahir

















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Instructions on how to access the 2015 Medicare Fee Schedule

Please review these instructions for how to access the 2015 Medicare Physician Fee Schedule (MPFS)

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NYCC Has Significant Impact on Finger Lakes Region Economy

 

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Clear Image Mobile Diagnostic Testing is now Pure Image Group

 

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Medicare: 2015 PQRS and Fee Schedule

The Patient Protection and Affordable Care Act (PPACA) mandated that non-participation or unsuccessful/unsatisfactory reporting in Medicare’s Physician Quality Reporting System (PQRS), formerly referred to as PQRI, will result in negative payment adjustments to Medicare reimbursement beginning in 2015. In the 2012 Medicare Physician Fee Schedule Final Rule, the Centers for Medicare and Medicaid Services (CMS) ruled that providers who did not successfully/satisfactorily participate in PQRS by the 2013 reporting period will have their Medicare reimbursement decreased by 1.5 percent beginning on January 1, 2015. Non-participation or unsuccessful/ unsatisfactory reporting during the 2014 performance period will result in a 2% reduction in a provider's 2016 Medicare reimbursement, and further non-participation or unsuccessful/unsatisfactory reporting this year (Jan. 1 -  Dec. 31, 2015) will affect a provider's 2017 Medicare reimbursement by applying a payment reduction of 2%.

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Revalidation of Chiropractic Provider Enrollment in the State Medicaid Program

 

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Medicare 2015 Physician Fee Schedule

The 2015 Medicare fee schedule has not yet been finalized. Once it is finalized, there will be a number of different fee schedules depending on your practice’s location, PQRS participation, and EHR/Meaningful Use participation. We will keep you informed as updates become available.

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Medicare Update December 2014

If you have received a letter from Medicare stating that you will have your fee reduced due to failure to certify with meaningful use through Electronic Health Records you can visit http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/paymentadj_hardship.html.
  • Eligible Professional Payment Adjustment Reconsideration Instructions
  • Eligible Professional Payment Adjustment Reconsideration Application
Although the categories may not fit your situation, there is a tab for other where you can explain your reason for not meeting the EHR/Meaningful use requirement. As many of us have small practices that this may pose a financial hardship for it is worth a try. The application is simple to fill out and can be emailed. This is only for those doctors who have received the payment adjustment letter for meaningful use. The deadline is February 28, 2015.

 

Help Potential Patients Find You

 

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NYSCA & Council Present Testimony Regarding the Proposed WC Fee Schedule

 

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NYCC December Commencement Exercises

 

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NYSCA District 15 Holds Coat Drive

 

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NYSCA Announces Redesigned Website!

 

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Non-Acute Pain MTGs and Revised MTGs Became Effective December 15, 2014

The new Non-Acute Pain Medical Treatment Guidelines (NAP MTG), as well as the revisions to the existing Medical Treatment Guidelines (MTGs), went into effect on December 15, 2014.

The Chair began the formal adoption process in June 2014, with the publication of a proposed regulation in the New York State Register. The process amends 12 NYCRR 324.2 to incorporate the Non-Acute Pain MTG as well as revisions to the third editions of the Mid and Low Back, Neck, Shoulder, and Knee MTGs and the second edition of the Carpal Tunnel Syndrome MTG. Additionally, Intrathecal Drug Delivery (Pain Pumps) have been added to the list of procedures requiring prior authorization. For your review, complete copies of the new NAP MTG, revised MTGs and the Amendment of 12 NYCRR 324.2 are available on the Board’s website.

The new NAP MTG presents a comprehensive approach to the management of patients with chronic pain, including best practice recommendations for the appropriate use of narcotics. This is a particularly important topic in light of the opioid epidemic facing the nation, including New York’s injured workers.

As was announced last month, e-learning training programs have been developed to facilitate compliance with both the new NAP MTG and revised MTGs recommendations. The training consists of medical courses that enable providers to earn CME credits, as well as courses for non-medical professionals. These programs are free and have been available on the Board’s website since November 12, 2014. In addition, the Non-Acute Pain Medical Treatment Guidelines training is available with free CME credits on MSSNY’s website. Please take advantage of the training, if you have not already done so. The Board will make an official announcement when the training is available for physical therapists and chiropractors.

If you have any questions concerning the Guidelines, please contact the Board’s Medical Director’s Office at (800) 781-2362.

Robert E. Beloten
Chair

 

NYSCA & Council to Present Testimony Regarding the Proposed WC Fee Schedule

The New York State Assembly Insurance and Labor Committees will be holding a joint hearing in late December to examine the proposed Worker’s Compensation fee schedule. As you are aware, we have been working diligently on the changes that the Worker’s Compensation Board has been promulgating since 2007, and we have met several times with the Workers’ Compensation Board specifically on the fee schedule issue. We will be presenting testimony at the hearing. We are in the process of preparing testimony for submission. In addition, we will be testifying in person, in conjunction with the New York Chiropractic Council, at this hearing.

 

ACA, NYSCA and National Government Services, Inc., Work Together to Improve Chiropractic Documentation

Arlington, Va. – The American Chiropractic Association (ACA), the New York State Chiropractic Association (NYSCA), and National Government Services, Inc., the Jurisdiction K Medicare Administrative Contractor (MAC), jointly presented a special Medicare documentation seminar in Queens, N.Y. The event provided in-depth instruction on how to properly bill and document chiropractic services under the Medicare program.

Recent government reports show a need for the chiropractic profession to improve its documentation skills. A bill introduced this month in the U.S. House of Representatives calls for HHS to develop a training program for doctors of chiropractic (DCs) whose claim error rates are higher than the profession’s national average. DCs who avail themselves to ACA-sponsored programs will avoid pre-authorization requirements that non-compliant providers could eventually face.

The program presented in New York featured ACA Medicare Committee representatives Michael Jacklitch, DC, Steven Conway, DC, as well as National Government Services representatives Kathy Dunphy, Laurence Clark, MD, and Greg McKinney, MD. Organizers viewed it as a possible template for the future national education program that HHS seeks to establish.

Of particular focus during the training is how DCs should document ongoing treatments and maintenance therapy. Government reports show that a high percentage of chiropractic Medicare documentation does not meet regulatory requirements. “ACA is on record supporting quality documentation tenets, ensuring a much lower error rate with Medicare claims,” said ACA President Anthony Hamm, DC. “Proper documentation will ensure that our claims data is accurate and complete.”

“The format of this presentation allowed for an open dialogue between attendees, National Government Services leaders, and the ACA Medicare Committee to determine how processes may be improved for all concerned. NYSCA looks forward to working with the ACA and National Government Services not only to provide additional meetings but in implementing improvements,” said NYSCA past president and New York Carrier Advisory Committee representative, Mariangela Penna, DC.

Dunphy, National Government Services director of congressional affairs, added, “We appreciate the ACA’s willingness to work proactively toward improving billing practices and look forward to continuing to work with the organization and its members to reduce error rates on chiropractic claims billed to Medicare.”

ACA plans to conduct additional seminars with National Government Services in the Northeast, and is open to working with other MACs that wish to hold similar programs in other jurisdictions.

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The American Chiropractic Association (ACA), based in Arlington, VA, is the largest professional association in the United States advocating for more than 130,000 doctors of chiropractic (DCs), chiropractic assistants (CAs) and chiropractic students. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org.

 

Optum Physical Health announces the STarT Back Screening Tool

As referenced in the 2014 third quarter Optum newsletter, effective in the fourth quarter of 2014, Optum Physical Health (OptumTM) will include reporting of the STarT Back Screening Tool (SBST) as part of the electronic clinical submissions for those providers who are required to submit.

For your information, I have attached the letter that has been sent to Optum providers detailing the inclusion of the SBST in the “Patient Completes this Section” of the electronic Patient Summary Form (PSF). The PSF incorporates a version of the SBST that should be used for most adult patients with musculoskeletal disorders.

There will be a slight delay in the deployment of this tool. The SBST will be visible to providers logging on to the portal on December 7, 2014 rather than the November 23, 2014 date noted in the letter.

If your members have questions, please direct them to Optum’s Member Provider Services (MPS) at (800) 873-4575 or their support clinician.

 

Matthew F Margraf DC, NYSCA District 7 Member

Long time friend,colleague and NYSCA member Dr. Matthew Margraf has passed away. Services are today only at St. James Funeral Home St. James NY 2-4 and 7-9pm. Dr. Margaf was a longtime NYSCA member with an office on Francis Lewis Blvd, Flushing, Queens and in 7 Greenwood Ln, St. James NY. He was 74.

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