Medicare

The Other Side of the Story - "Incident To"

In reference to an article I posted a while back on "Incident to" which has caused a significant "stir", I need to clarify some some things.  Medicare and other payers do not allow for a lower level provider (e.g. PA, NP, CRNA, etc) to supervise a higher level provider (e.g. MD, DO, etc.) ever.  Yes, the author of the "Incident to" rule did provide some surprising and questionable thoughts on what she intended the rule to state, but there are other Medicare rules and regulations that will not allow bililng for services by a non-enrolled provider to happen, unless you are billing locums tenens.

Meaningful Use & Certified Medical Assistants: The Truth Regarding CPOE

On August 23,2012, the Centers for Medicare & Medicaid Services (CMS) ruled that only “credentialed medical assistants” – including CMA’s (AAMA) – would be allowed to enter medication, laboratory, and radiology orders into the computerized provider order entry system for meaningful use purposes for the Medicare and Medicaid Electronic Health Record Incentive Program. Medical Assistants that are not certified cannot participate in entering orders into the EHR. for meaningful use purposes, but there is a way for them to become qualified with Assessment-Based Recognition in Order Entry.

Read more: Meaningful Use & Certified Medical Assistants: The Truth Regarding CPOE

Avoiding Meaningful Use Payment Adjustments

Eligible professionals participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. CMS will determine the payment adjustment based on meaningful use data submitted prior to the 2015 calendar year. Eligible professionals must demonstrate meaningful use prior to 2015 to avoid payment adjustments.
Determine how your EHR Incentive Program participation start year will affect the 2015 payment adjustments:

CMS Extends Meaningful Use Hardship Exception Submission Period

BREAKING NEWS:
CMS announced on Tuesday, October 7, 2014, that it will extend the submission period for hardship exceptions applications for eligible professionals to avoid the 2015 Medicare payment adjustments for not demonstrating meaningful use of CEHRT.  The previous deadline for eligible professionals was July 1 2014, but this is now extended until 11:59 PM EST November 30 2014.