Be Ready! A recent audit by the OIG revealed that CMS issued hundreds of millions of dollars worth of incorrect EHR incentive payments.
Per the EHR Incentive Program, documentation to support attestation data for meaningful use objectives and clinical quality measures should be retained for six years post-attestation.
From The Wall Street Journal:
Medicare erroneously paid an estimated $729 million to doctors and other health professionals under a multibillion-dollar federal initiative designed to shift the health-care system from paper records to computer files, according to a new federal audit.
The U.S. Department of Health and Human Services Office of Inspector General, which conducted the audit, said Medicare, over a three-year period, improperly paid health professionals who vouched they earned bonus payments under the initiative, but who either lacked required proof or failed to meet bonus criteria.
The Centers for Medicare and Medicaid Services, the agency … Read More »
On May 12, 2017 The Department for Homeland Security released the following report:
US-CERT has received multiple reports of WannaCry ransomware infections in several countries around the world. Ransomware is a type of malicious software that infects a computer and restricts users’ access to it until a ransom is paid to unlock it. Individuals and organizations are discouraged from paying the ransom, as this does not guarantee access will be restored.
Can HIPAA compliance help covered entities and business associates prevent infections of malware, including ransomware?
Yes. The HIPAA Security Rule requires implementation of security measures that can help prevent the introduction of malware, including ransomware. Some of the required security measures include:
• implementing a security management process, which includes conducting a risk analysis to identify threats and vulnerabilities to electronic protected health information (ePHI) and implementing security measures to mitigate or remediate … Read More »
CMS has followed up the MIPS Notification letters with a helpful tool to look up provider eligibility by individual NPI. To access the NPI lookup tool, go to http://qpp.cms.gov and click on the green “Check Now >” button as seen in the screenshot below.
From there, you can enter the provider’s individual NPI to check their eligibility. This tool should help anyone who is unsure about their provider’s status with MIPS for 2017. If CMS data reflects that the provider is required to submit data to MIPS, the following screen will state” “Included in MIPS; (Providers Name) must submit data to MIPS by March 2018″ along with a new green button labeled “What Can I Do Now?”.
If the provider isn’t required to submit data to MIPS for 2017, the screen will show: “Exempt from MIPS; (Provider Name) is not required to … Read More »
In case you missed our informational PCSP webinar last week, we are having a repeat webinar on April 18th, 2017 at 12pm.
The Patient-Centered Specialty Practice is a National Committee for Quality Assurance (NCQA) recognition program that extends the Patient-Centered Medical Home (PCMH) concepts to specialists. Specialty practices committed to access, communication and care coordination can earn accolades as the “neighbors” that surround and inform the medical home and colleagues in primary care.
Our cohort framework is designed to accelerate your journey to NCQA PCSP Recognition within a 14-16 month period. Through our expert training, coaching, and resources, your staff will be well-prepared to carry out the practice transformation process.
Now is the perfect time! By receiving recognition as a PCSP, your organization will receive full points in the Improvement Activities category of the Merit-Based Incentive Payment System under the Medicare Access and CHIP … Read More »
Physician Quality Reporting System (PQRS) Groups Must Register to Utilize the CMS Web Interface and/or CAHPS for MIPS Survey by June 30, 2017
Groups participating in the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program are not required to register, except for groups that intend to utilize the CMS Web Interface and/or administer the Consumer Assessment of Health Providers and Systems (CAHPS) for MIPS survey. To register, please visit the Quality Payment Program website. The registration period is from April 1, 2017 through June 30, 2017.
Under MIPS, a group is defined as a single Taxpayer Identification Number (TIN) with two or more eligible clinicians (including at least one MIPS eligible clinician), as identified by their National Provider Identifiers (NPI), who have reassigned their billing rights to the TIN. Eligible clinicians who participate as a group will be assessed … Read More »