Physician fee schedule rate change delayed
January 25th 2012The Centers for Medicare and Medicaid Services (CMS) released the final rule for its physician fee schedule November 1 and stated that providers would see an across-the-board reduction of 27.4% for services in 2012, but much is still unclear about this change.
One-third of PCPs working with regional extension centers to implement EHRs
November 30th 2011More than 100,000 primary care practices are using the services of a regional extension center to implement electronic health records. Consider joining them if your practice is closer to the beginning of the process than the end.
Physician organizations blast ‘supercommittee’ inaction
November 30th 2011The federal Joint Select Committee on Deficit Reduction failed to reach agreement on a deficit-reduction proposal, which means that doctors still face a 27% cut in Medicare payments effective January 1. Predictably, the decision elicited strong reactions from organizations representing primary care physicians. Read what the organizations are saying on your behalf and their suggestions for future action.
5010 compliance: You get 90-day reprieve
November 30th 2011If your office isn’t prepared to submit claims using version 5010 electronic transaction standards, take a breath but keep on working. With so many of your fellow physicians in the same position, the Centers for Medicare and Medicaid Services has decided to wait until March 31 to begin enforcing adherence to the standards. Some caveats apply, however.
Physician offices lead the pack in job creation
November 23rd 2011Physicians are doing their part to improve the lackluster economy. Healthcare employment grew by 12,000 jobs in October, with 8,000 of those jobs in doctors' offices, according to the Bureau of Labor Statistics. This after September saw the highest growth in healthcare employment in 9 years. Find out how that rate compares with growth in other industry sectors and how long you can expect the healthcare boom to last.
Is health reform law constitutional? Supreme Court will decide
November 23rd 2011Have you and your colleagues expended significant time and money to understand and meet the requirements of a law that may be declared unconstitutional? The answer is not clear at this point, but at least the issue is headed toward resolution. The U.S. Supreme Court has agreed to rule on the constitutionality of the Patient Protection and Affordable Care Act, with oral arguments likely this spring and a decision later next year. Find out what issues before the court could have the biggest effect on your practice.
ICD-10 deadline sparks battle of titans: AMA vs. CMS
November 23rd 2011The American Medical Association House of Delegates has voted to “work vigorously to stop implementation of ICD-10” by an October 2013 deadline. But don’t get your hopes up. The smart money is probably on the government. Find out what the Centers for Medicare and Medicaid Services said about changing the deadline, and why the agency is so anxious to start using the new coding system.
In an innovative practice? You might qualify for government funds
November 23rd 2011A new government initiative will begin awarding $1 billion in funds next March to physician offices and other healthcare sites exploring creative ways to deliver high-quality medical care and reduce costs for people enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program. Projects that can be up and running in 6 months or less and demonstrate a model for sustainability after the 3-year award period will have priority. Find out why it might be worth a look to see if your practice can qualify.
Ask the EHR: Using data for real-time treatment decisions
November 23rd 2011Here’s a novel use of electronic health records: Using the technology to provide an “electronic cohort” that allows you to evaluate a course of treatment on a real-time basis. Usually, physicians rely on randomized, controlled trials, when possible, and turn to expert opinion when necessary. But what if experts aren't available or testing is inconclusive? Find out how a medical team used a quick analysis of an EHR database to determine treatment of a pediatric patient with systemic lupus erythematosus complicated by nephritic-range proteinuria, antiphospholipid antibodies, and pancreatitis.
Health information technology: Better in long term despite short-term safety risks
November 23rd 2011Responding to a new report that says growing pains for health information technology are creating some short-term safety issues, technology experts say physicians should remember one immutable fact: The new systems are far less dangerous than the old paper-based systems still used by many practices. The Institute of Medicine said there have been reported cases of patient injury related to medication dosing errors, failure to detect fatal illnesses, and treatment delays due to poor human-computer interactions or loss of data. Read on to learn how can you avoid these errors when using technology in your practice.
Is it a bad thing if physicians benefit from Texas malpractice caps?
October 27th 2011A liberal advocacy group says that liability reform in Texas shouldn’t be a model for the rest of the nation because the only beneficiaries are doctors and malpractice insurance companies. It also maintains that healthcare is scarcer in the state and more expensive than the national average-claims disputed by supporters. You might be interested in what the report says about the drops in the frequency and dollar amounts of liability payments since malpractice caps were instituted.
Guess what? ICD-11 waiting in wings
October 27th 2011Here’s something you may not want to hear as you scramble to meet the October 1, 2013, deadline for ICD-10 conversion: ICD-11 will be available about 2 years later. That reality was discussed at the recent American Health Information Management Association meeting, which featured a speaker from the World Health Organization, the developer of the International Classification of Diseases. Find out why the next conversion might not be as burdensome.
Medical home standards not met by half of physician practices
October 27th 2011Nearly half of physician practices do not meet national standards to qualify quality as a Patient-Centered Medical Home, with smaller, single-specialty groups being the least likely to qualify, according to a new study. Ninety percent of Americans receive care from those smaller practices, however. Learn how solo and single-specialty practices can even the playing field to meet medical home standards.
Too early for metadata standards for health information
October 19th 2011The government is jumping the gun in trying to develop metadata standards for healthcare technology, according to two industry groups. Those standards are proposed for meaningful use stage 2 and could affect your electronic health record implementation. Find out what prompted concerns that standards are too early for metadata, which embed descriptive information about the meaning and use of data.
Use EMR reminders to increase vaccination rates
October 19th 2011Making sure all of your older patients receive necessary vaccines is a challenge; 34% of adults aged more than 65 years fail to get a seasonal influenza vaccine and 40% lack pneumococcal vaccinations. Your electronic medical record system could provide an effective solution, however. A recent study reports that EMR reminders increase pneumococcal vaccination rates by 50% and raise influenza vaccination rates 20%, compared with usual care. How can this system work for you, and how much of your time will it require?
New physicians recruited like star athletes as shortage looms
October 19th 2011Will this year’s A-Rod be wearing a white coat and stethoscope? Although no one is offering a $275 million contract, doctors just entering the field have become a hot commodity. A recent survey found that more than 75% of physicians in their final year of training received at least 50 job solicitations, and half got 100 or more. If you think, however, that being in demand makes newly minted physicians happy with their chosen profession, think again.
Whose relative value? Work intensity similar across physician specialties
October 19th 2011Proponents of lower payments for primary care providers argue that work requiring less mental challenge and stress should pay less. The problem with that “relative value” position is that, according to a recent study, overall work intensity actually is quite similar across medical specialties. Find out why researchers believe the instruments currently used to measure physician work intensity are flawed.
Want to save $62.4 billion? Enact medical liability reform, AMA says
October 19th 2011Here’s a straightforward way for Congress' Joint Select Committee on Deficit Reduction to save $62.4 billion over 10 years without cutting payments to healthcare providers: Institute meaningful medical liability reform. That was what the American Medical Association, the American Academy of Family Physicians, the American College of Physicians and more than 90 other state and specialty medical societies told the so-called “supercommittee.” Read on to see the specific recommendations.
EHR implementation could be hurt by shortage of IT professionals
October 19th 2011Who are you going to hire to help implement and maintain your increasingly sophisticated electronic health record systems over the next few years? Depending on where you live, that could be a real challenge, according to the American Health Information Management Association. The group warns that, in many parts of the country, no one will be available without concerted training and incentives. Find out what's being done to increase the supply of trained professionals for practices such as yours.