Practice Evolution Series HIPAA Omnibus Rule: What You Need to Know for Your Practice

June 3, 2013

6:00-7:15 pm

FREE

After years of work the final HIPAA Omnibus Rule is here. The rule makes a number of changes including modifying the HIPAA Privacy and Security Rules passed under the HITECH Act. This will affect what you and your practice team need to do in order to meet the strict patient privacy and data security requirements. Don't be left in the dark on the details of this critical rule and how it will impact your practice. Plan on attending an engaging and informative webinar with David Ginsberg, a leading authority in HIPAA privacy and security compliance and meaningful use.

Women’s Health Leadership Institute, Denver Training Program

Community Health Workers

June 12, 13, and 14
Downtown Denver

We are excited to announce the Women’s Health Leadership Institute’s Community Health Worker (CHW) training program is coming to Denver! They are looking for experienced Community Health Workers to be involved in this wonderful institute and movement to improve health in our communities. Entrance is limited and the application deadline is upcoming. Below are some details and attached is the application and official announcement.

The application must be submitted no later than Friday, May 24, 2013. Please email the application to Carmen Ferlan, Master Trainer Supervisor at cferlan@mariposachc.net

For more information, click here.

Important Announcement on Post-Payment Audits

The Department of Health Care Policy and Financing has hired the firm Myers and Stauffer, LLC to perform all post-payment audits for the Colorado Medicaid EHR Incentive Program. This includes all Eligible Professionals and Medicaid-only Eligible Hospitals.

Myers and Stauffer, LLC will contact you directly if you have been chosen for a post-payment audit and will be the only entity working with you to complete the audit process.

Reminder: You should keep all related documents to your attestation for a minimum of six years.

FOR MORE INFORMATION Contact Tracy McDonald, Medicaid EHR Incentive Program Coordinator, by email at MedicaidEHR@corhio.org or by phone at 720.285.3232.

EHR AND MEANINGFULUSE BOOT CAMP

June 27, 2013
11:30am-5:00pm Mountain Time
Double Tree Hotel, Westminster, CO

Attend the free EHR & Meaningful Use Boot Camp and learn how to incorporate Meaningful Use objectives into your practice to increase efficiency, improve patient outcomes and make the most of the expense and time you put into your EHR adoption. Presented by CORHIO, with David Ginsberg as the featured speaker. Click here for further information or to register.

ICD-10 Webinar Series Ready, Set, Organize

May 28, 2013

Noon-1pm MDT

Someone once said you will never get going until you start. So start by registering for the May 28 ICD-10 webinar while there is still time left. Space is limited - register now. 

Program highlights Continuing the discussion from last month's webinar the program will dig into the impact the ICD-10 transition is going to have on her practice and look at it in terms of the tasks that need to be completed. By organizing this information we are entering Project Planning Phase 1 and putting more specificity around the areas of impact in order to develop a timeline and start your project plan. 

CMS Announces Method II "Fix"

As many of you know, physicians employed or contracted with Critical Access Hospitals who billed those services using Method II have been unable to earn CMS EHR Incentive payments (this does not apply to Medicaid incentives if they qualify).

The problem has been that while Method II claims are adjudicated and paid by CMS as Part B claims, they are submitted using a UB02 or institutional claim form. While most every CAH ensures that these claims for Method II services included the rendering physician's NPI number, the CMS claims system was unable to capture that at the line level. CMS physician incentives are paid by calculating 75% of the Part B allowable submitted to CMS in the calendar year up to the current incentive program maximum. For this year the maximum incentive is $15,000.

Since CMS could not pull the Method II claim line items and associate those to a physician NPI, there has been no way to calculate the incentive payment. This unfortunate oversight when creating the incentive program and in CMS's systems has delayed the ability to capture incentives for Method II physicians.

CMS announced the "fix" late last  year; in a recently released FAQ this has been confirmed. Physicians cannot attest before January 1 for this calendar year and must be sure they have properly registered on the CMS Incentive site as well as have their payment assignments with their CAH in proper order.Attestation will be for 90 days of Stage 1 Meaningful Use.

 CMS states:

Reassigning Payments to CAHs
If a provider would like to qualify for an EHR incentive payment and is reassigned to a CAH, this information may be verified through PECOS once an 855R form is submitted for an enrolled provider/supplier. If the provider is not currently enrolled, 855I and 855R forms must be submitted and processed. CMS is now accepting these forms for reassignment of payments to CAHs. Medicare may pay: (1) a physician or other supplier’s employer if the supplier is required, as a condition of employment, to turn over to the employer the fees for his or her services; or (2) an entity (i.e., a person, group, or facility) that is enrolled in the Medicare program for services furnished by a physician or other supplier under a contractual arrangement with that entity. This means that Part A and Part B entities other than physician/practitioner group practices can receive reassigned benefits, assuming the requirements for a reassignment exception are met and that the reassignee meets all enrollment requirements. 

If you have any questions please contact our Senior Advisor, David Ginsberg. We urge all of our CAHs with Method II billing for physicians in place, and who have otherwise reached meaningful use for their clinic systems to follow through for their CMS EHR Incentive.

ICD-10 News: CMS Releases ICD-10-PCS Files

ICD-10-PCS Code Updates

The 2014 ICD-10-PCS (procedure) files are now available and posted on the CMS website. ICD-10-PCS will be used for coding inpatient procedures when the U.S. transitions to ICD-10 on October 1, 2014. ICD-10-PCS will replace ICD-9-CM, Volume 3. CPT codes will continue to be used for outpatient procedures and services. 

The new ICD-10-PCS files include:

• Updated “Official ICD-10-PCS Coding Guidelines” with guidance from the ICD Cooperating Parties: CMS, the Centers for Disease Control and Prevention, the American Hospital Association, and the American Health Information Management Association 
• The 2014 ICD-10-PCS code tables and index, which add four procedure codes created to capture new technologies

Click here to read more.

THE Consortium Webinar - May 2013

HIPAA Omnibus Follow-Up -- Deeper Dive

Please join us for THE Consortium webinar on Thursday, May 16, 2013 from 12:00pm - 1:15pm where we will discuss the HIPAA Omnibus Rule in greater depth than at our recent presentations. The deeper dive will focus on:

• Handling patient requests for restrictions on disclosures to health plans
• Providing immunization records to schools
• New Breach notification procedures
• What you should be doing NOW to be ready for the September 23rd deadline for compliance

Click here to register

CHA/HIM Advisory Group Friday May 17,2013

The next meeting of the

HIM/CHA Advisory Group will be on
Friday, May 17th from 2:30 - 4:00 PM at CHA. 

1. Please join the meeting.

https://www2.gotomeeting.com/join/705872970 

2. Join the conference call: 

Dial +1 (805) 309-0033 

Access Code: 705-872-970 

Audio PIN: Shown after joining the meeting 

Meeting ID: 705-872-970 

3. Meeting agenda

Using an Electronic Health Record to Create Patient Problem Lists

Health Resources and Services Administration
Health Information Technology and Quality Improvement Webinar
Friday, May 17, 2:00 PM ET 

This webinar will focus on how safety net primary care providers can meaningfully use electronic health records (EHR) to create and maintain patient problem lists. Created by EHRs, patient problem lists are a core requirement of Meaningful Use. This function serves as a powerful tool for maintaining a patient’s medical history while also helping to engage patients to better track and manage their health care. 

Presenters will demonstrate how patient problem lists are created and maintained by EHRs, and share their strategies on how providers can use them for quality improvement and patient engagement. Lastly, staff from the U.S. Department of Health and Human Services will discuss the importance of patient problem lists in achieving Stage 1 and 2 of Meaningful Use. To register click here.

ICD-10 News: Upcoming NGS Webinar Sessions

Sessions on End-to-End Testing for May

National Government Services (NGS), under contract to CMS, is hosting a series of webinars to gather insights and feedback from the health care industry on end-to-end testing of ICD-10 and other HIPAA administrative simplification requirements.

Webinar Schedule

May 1, 2013
2-3 p.m.
Payer

May 7, 2013 

2-3 p.m.
Small Provider 

May 8, 2013 

2-3 p.m.
Large Provider 

May 9, 2013 

2-3 p.m.
Vendor

Click here to read more.

Join the CMS and ONC Meeting on Coding and Billing

Meeting about EHRs, Coding, and Billing:

May 3 from 9 a.m. to 2 p.m. ET

Please join CMS and ONC for a meeting to discuss EHRs, the increase in code levels billed for some Medicare services, and appropriate coding in an increasingly electronic environment. 

Speakers will discuss the effect of EHRs on quality clinical care, provider efficiency, and coding, as well as coding challenges and opportunities facing hospitals and clinicians. Click here to read more.