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Middlesex County Medical Society
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East Brunswick, NJ 08816
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Marketing 101 for Physician Practices
"How to Market Your Practice" - from the Middlesex County Annual Meeting
Affordable Care Act Expands Medicare Coverage for Prevention and Wellness
The Affordable Care Act (ACA) adds coverage for a new "Wellness Visit" and eliminates cost-sharing for almost all of the preventive services covered by Medicare, effective January 1, 2011. Read more about the changes in preventive care coverage by Medicare. For more information about coding the Medicare annual wellness, visit the CMS website.
Practice Managers Resources
Medical Practice Management Resources
PQRS Data Errors
CMS announced that multiple errors were found in the 2014 PQRS data submitted by vendors on behalf of physicians and group practices that reported via EHR and Qualified Clinical Data Registries (QCDR). Physicians who participated and reported in 2014 PQRS through claims and clinical registries are not affected. Due to the errors, EHR and QCDR data is inconsistent and cannot be used to calculate quality performance for the 2016 value modifier. PQRS performance information also cannot be included on Physician Compare. There is no impact for PQRS and EHR Incentive Programs because physicians are judged on whether they can successfully report rather than performance.
For the value modifier, CMS will not be able to accurately calculate the PQRS portion of the Quality Composite Score. The score will then be based only on the claims-based outcomes measures and Consumer Assessment of Healthcare Providers and Systems Survey, if applicable.
2014 PQRS Star Rating to Be Publicly Reported
In late 2015, CMS will publicly display a subset of individual 2014 PQRS measures through star ratings on physicians' individual profile pages. CMS will report information through star ratings only on physicians and group practices that were successful with 2014 PQRS. A review period will be available before the information goes live to flag problematic information. The preview period will last 30 days and is expected to start October 5. Review a preview report, through the PQRS Portal. Be sure to have an EIDM account.
Medicare Enrollment Fact Sheet Updated
CMS has updated their fact sheet on Medicare Enrollment for Physicians and Other Part B Suppliers. This fact sheet provides Medicare enrollment information and how to ensure that physicians and other Part B suppliers are qualified and eligible to enroll in the Medicare Program. It includes information on how to enroll in the Medicare Program, how to report changes, and a list of resources.
Final End-to-End Testing Week Results
CMS conducted their third and final ICD-10 end-to-end testing week with all MACs on July 20 through July 24, 2015. According to CMS, this testing week demonstrated that CMS systems are ready to accept and process ICD-10 claims. Approximately 1,200 providers and billing companies participated with over 29,000 test claims submitted. View the results. Even though this was the final testing week, providers are encouraged to participate in acknowledgement testing, which can be completed at any time prior to October 1, 2015.
Read AMA's last-minute guide to prepping for ICD-10.
Make sure your practice is prepared for ICD-10 by following CMS' ABCs of ICD-10: