Posts Tagged 'medicare reimbursement'

Don’t Forget: Eligible Hospitals Must Begin 90-Day Reporting By July 3

At Integrated Data Management Systems, we are dedicated to staying up-to-date with CMS news, policy changes, and deadlines so that our clients remain compliant. Today, we will remind you about some important deadlines, one of which is happening this coming weekend.

July 3, 2011, is the final deadline for eligible hospitals to begin the 90-day reporting period to demonstrate meaningful use under the 2011 Medicare EHR Incentive Program. That means you have only four days left to begin the reporting period.

As a quick refresher, here is information about the Medicare EHR Incentive Program (via the CMS page about the program):

The Medicare EHR Incentive Program will provide incentive payments to eligible professionals, eligible hospitals, and CAHs that demonstrate meaningful use of certified EHR technology.

  • Participation can begin as early as 2011.
  • Eligible professionals can receive up to $44,000 over five years under the Medicare EHR Incentive Program. There’s an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area (HSPA).
  • To get the maximum incentive payment, Medicare eligible professionals must begin participation by 2012.
  • Incentive payments for eligible hospitals and CAHs may begin as early as 2011 and are based on a number of factors, beginning with a $2 million base payment.
  • For 2015 and later, Medicare eligible professionals, eligible hospitals, and CAHs that do not successfully demonstrate meaningful use will have a payment adjustment in their Medicare reimbursement.

Further dates that we recommend our clients, and any eligible professionals or hospitals interested in maintaining compliance, mark on their calendars: Continue reading ‘Don’t Forget: Eligible Hospitals Must Begin 90-Day Reporting By July 3′

PQRS Paying Off for Physicians

In 2009, nearly 120,000 physicians in more than 12,000 practices received payments from the Physician Quality Reporting System (PQRS), for a total of $234 million. Over 48,000 physicians received part of a $148 million pay-out for compliance with e-prescribing.

Participation in PQRS has grown approximate 50% each year since the program began. On average, 2009 bonus payments for PQRS were $18,525 per practice and $1,956 per eligible physician. E-prescribing paid out $14,501 per practice and over $3,000 per eligible professional. Physicians and other eligible professionals received payment in the fall of 2010.

As PQRS physician participation increases, CMS will be able to collect more information about patient quality of care. Based on reported data, providers have improved the frequency at which they deliver recommended care by 3.1%, on average. CMS Administrator, Donald Berkwick, MD, explained, “Most beneficiaries get their care in the physician office; however, this is the care setting for which we have the least amount of data about quality of that care. The Physician Quality Reporting System and the e-prescribing program help bridge the knowledge gap so we can better understand the care millions of patients receive from physicians and other care providers every day.”

Integrated Data Management Services (IDMS) assists Dallas/Ft Worth physicians in capturing benefits of PQRS  by identifying and correcting problematic areas. Through data abstraction and analysis, hospitals and physician offices can cut costs, improve quality of care, and reduce risk. Once the data is compiled, IDMS will develop a training and implementation strategy to improve compliance. Contact IDMS today at (972)922-9800, or email us at integrateddatamgmt@gmail.com to schedule a consultation.

IDMS Assists Dallas/Fort Worth Hospitals with Audits

Clinical audits aim to improve quality of care. Through systematic review explicit criteria audit results contribute to positive changes. The key component of an audit is to review performance and provide guidelines for improvement.

Since the implementation of PQRI or PQRS, quality of care in hospitals has become a main concern. Regular chart auditing enables hospitals and physician offices to capture more Medicare and Medicaid reimbursement, thus increasing revenue.

Integrated Data Management Services (IDMS) provides Dallas/Fort Worth hospitals and physician offices comprehensive chart auditing with reliable results. By auditing charts regularly with IDMS, problems can be identified and remedied efficiently and effectively to help you and your staff improve overall performance. We provide tools and training for optimal success.

With over 50 years combined experience, our experts will analyze data, assess results, and initiate targeted team training to improve potential for optimal compliance. If your hospital or physician practice needs assistance in meeting regulations or improving compliance, call IDMS at (972)922-9800 for a consultation.

Why Texas Hospital Need Data Abstraction

Texas Department of State Health Services strives to keep patient safety its number one priority.  The organization’s mission is to protect, promote, and enhance the health, well-being, and productivity of all Texans through:

  • “The gathering of data and development of information regarding the quality and effectiveness of healthcare services provided through providers and suppliers licensed by the Texas Department of State Health Services (DSHS) and certified by the Centers for Medicare and Medicaid Services (CMS);
  • “The conducting of fair, impartial, and objective surveys and investigations of healthcare providers and suppliers;
  • “The promotion of quality improvement in the provision and supply of healthcare;
  • “The provision of accurate and timely information regarding the state of healthcare within the State to policy-makers, stake-holders, and other interested parties;
  • “The documentation of evidence for enforcement actions to protect the health and safety of Texans;
  • “The collaboration, coordination, and integration of efforts between the myriad State and Federal agencies and organizations involved in the licensure, certification, accreditation, and oversight of health care providers and suppliers to ensure the most efficient and effective use of resources possible; and
  • “The open, ethical, responsive, and accountable conduct of business to promote trust in government throughout the State and Federal governments.”

Integrated Data Management Services (IDMS) can assist hospitals and physician offices achieve results through data abstraction and analysis. IDMS identifies problem areas in the facilities by providing accurately documented records concerning quality of care.

The IDMS team stays current with ever-changing JCAHO and CMS changes. With over 50 years combined experience, our experts will review your policies and provide team training to improve potential for optimal compliance. If your hospital or physician practice needs assistance in meeting regulations or improving compliance, call IDMS at (972)922-9800 for a consultation.

PQRI Changes to PQRS

Physician’s Quality Reporting Initiative (PQRI) is continuously changing in the areas of requirements, deadlines for submissions, and associated payments.  In fact, PQRI has changed to PQRS (Physician Quality Reporting System). Centers of Medicare & Medicaid Services (CMS) have proposed a new rule to align PQRS and EHR meaningful use initiative programs.

“In an effort to align PQRI with the EHR incentive program, we propose to include many American Recover and Reinvestment Act (ARRA) core clinical quality measures in the PQRI program to demonstrate meaningful use of EHR and quality of care furnished to individuals. We propose the selection of those measures to meet the requirements of planning the integration of PQRI and EHR reporting.”

To find more on the PRQS changes, go to www.cms.gov/PQRS.

Integrated Data Management Services (IDMS) specializes in data abstraction to help hospitals and physician offices analyze and correct problematic areas. Through data abstraction and analysis, hospitals can cut costs, improve quality of care, and reduce risk. Once the data is compiled, IDMS will develop a training and implementation strategy to improve compliance. Contact IDMS today at (972)922-9800, or email us at integrateddatamgmt@gmail.com to schedule a consultation.


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107 N Jackson Ave.
Wylie, Texas 75098

972-922-9800

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