Hospitals are moving away from paper-based records to electronic medical records and electronic health records to retain patient-care data. Electronic formatting facilitates data capture in a “real-time” environment, and allows many users to access the data at the same time.
CHA supports the capture and availability of secure patient-care data through the use of health information technology (HIT) across the continuum of care. CHA believes HIT will serve as a tool to enhance patient safety, promote information for preventative health and reduce health care costs.
CHA reminds hospitals participating in the Medicare electronic health record (EHR) incentive program to attest to demonstrating meaningful use by 8:59 p.m. (PT) on Saturday, Nov. 30, in order to receive a 2013 incentive payment. CHA urges hospitals not to wait until the last minute to attest. The Centers for Medicare & Medicaid Services (CMS) website is often flooded with requests at this time each year, causing delays.
Hospitals must attest to demonstrating meaningful use every year to receive an incentive and avoid payment adjustments that are scheduled to begin Oct. 1, 2014. Hospitals that begin participation in the EHR incentive programs in 2014 or later will receive a reduced EHR incentive payment. For federal fiscal year (FFY) 2014, the reporting period will be three months, regardless of the stage of meaningful use, to allow hospitals more time to upgrade to 2014-certified EHR technology. Further, in order to avoid the FFY 2015 payment penalty, hospitals must attest no later than July 1, 2014, which means they must begin their 90-day EHR reporting period no later than April 1, 2014. CHA continues to work with AHA to extend the period of time in which hospitals can remain at each stage to three years, instead of two. For more information regarding the program, visit the CMS EHR incentive program web page.
January 21, 2014
10:00 a.m. – 12:00 p.m., Pacific Time
Hospitals are required to be ICD-10 compliant on Oct 1, 2014 — less than 10 months away. Transition to the new system will be exceptionally complex. Diagnosis codes will jump from 13,000 under ICD-9 to over 68,000 with ICD-10 and procedure codes will increase from 4,000 to 87,000, respectively. This webinar will help providers understand the financial impact of ICD-10 on their organization and adequately plan for coming change.
The Government Accountability Office released a report yesterday analyzing the progress of the Medicare electronic health records (EHR) incentive programs for payments made in 2011 and 2012. The report found that 48 percent of eligible hospitals received payment in 2012, up from 16 percent in 2011. The report also notes that inpatient prospective payment system hospitals were nearly twice as likely as critical access hospitals to receive a 2012 payment, and that hospitals in urban areas were 1.2 times more likely to have been awarded a payment compared to hospitals in rural areas. The full report is available at www.gao.gov/products/GAO-14-21R.
The California Department of Public Health (CDPH) has launched the CDPH Health Information Exchange (HIE) Gateway to help hospitals and health care professionals meet the requirements of the Meaningful Use (MU) public health objectives of the Centers for Medicare & Medicaid Services (CMS) electronic health record incentive program. CDPH intends for its HIE Gateway to serve as a single point of entry for data submission to many state public health programs, although not all programs will begin using the CDPH HIE Gateway immediately.
The Centers for Medicare & Medicaid Services (CMS) will host a webinar for hospitals preparing for Stage 2 meaningful use of electronic health records under the Medicare and Medicaid EHR Incentive Programs on Tuesday, Aug. 27 from 9 a.m. – 10:30 a.m. (PT). CMS experts will present and answer questions on Stage 2 criteria, 2014 clinical quality measures and key deadlines. To register, visit the CMS online registration site.
The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) hosted a webinar last week outlining their response to public comments on the recent interoperability request for information regarding policies that will strengthen the nationwide exchange of health information. In response to comments, the agencies have developed a set of guiding principles to ensure the Department of Health and Human Services (HHS) is properly building on the foundation of the electronic health incentive programs and the ONC HIT certification program. The agencies also describe actions they will take to accelerate health information exchange, such as developing additional guidance material; developing and maturing the necessary standards for interoperability; enabling patient access to electronic laboratory test results and facilitating the exchange of those results; and facilitating the development of provider directories. To view the agencies’ presentation, visit www.healthit.gov/sites/default/files/onc_cms_accelerating_hie_webinar.pdf.
CHA reminds members that July 3 is the last day for eligible hospitals and critical access hospitals to begin their 90-day reporting period to demonstrate meaningful use for the Medicare electronic health record (EHR) incentive program for federal fiscal year (FFY) 2013. Hospitals that begin attesting to meaningful use of EHRs for the first time this year must report on specific performance metrics for a 90-day period ending on or before Sept. 30, the end of the fiscal year. Hospitals that began attesting in 2011 or 2012 must report on the metrics for a full year in FFY 2013. For more information, visit the CMS website.
Reimbursement policy changes surrounding therapy cap expansion, manual medical review and now G-codes have the medical rehabilitation community reeling. Providers will need to closely evaluate and adapt policies and procedures including patient care policies to meet the new requirements and support claims submissions. This webinar will provide practical advice on how to implement the new regulations, including claims processing, and offer the MAC perspective on what CMS is looking for and tips to avoid common problems.
There’s a lot of buzz around the new HIPAA/HITECH final rule, and hospitals are moving quickly to review and understand the new federal regulations. But, California has its own set of laws to consider that are sometimes more stringent. So, which laws do you need to follow?
You’ve just been served. The subpoena “looks” okay, and seems “official,” but you’re wary — and you should be. The stakes are often high if you get this wrong. This webinar thoroughly explains the nuances of civil and criminal subpoenas. Participants will learn how to review what they receive and respond with confidence.
It has come to our attention that some hospitals in California do not use the CMS 2552-96 form according to CMS instructions when reporting on Medi-Cal services. Many comply with supplemental instructions issued by DHCS that require reporting of contract services in column 3 (designated for Medicare Title V by CMS). Also, these supplemental instructions state that Medi-Cal managed care bed days should not be reported on the form.