EHR Stuff: All-in-one or Buffet-style? It’s your choice!

I’m sure you know how hard it is to find a good practice management (PM) system (when I say “good”, I mean gets you paid” AND makes your office life easier, not harder).  But now your life has just gotten complicated again.  Now you are being told that you need to have and use an EHR in your office.  Ok, even if you don’t give a hoot about participating in meaningful use.  The fact still remains that Medicare is threatening that if you are not meaningfully using an EHR by 2015 they are going to assess you a 1% penalty, with an additional percent being added each year up to 5% by 2020.  (Of course this could all change with the current state of healthcare and the influx or repeal of Obambacare.)  It is true.  There is a lot on the table with so many variables in play.  It’s more like a game of 52-card pick up than any organized card game.  (Seriously, have you ever tried to play Poker with someone who is playing Go Fish?)  Plus there are additional regional variations for Medicaid and third-party payers (Euchre anyone?). 

Do you know what day it is for your back up?

It shouldn’t be like pulling teeth to do a backup.  Nobody wants to get their teeth pulled out, it hurts!  So why is making a daily backup like pulling teeth in most offices?  As kids my mom tried to help us remember to do daily things like brushing and flossing by having us mark a calendar with cute stickers we could earn when we had done it.  We could have stickers for every day, MTWTFSS.  It just took some follow-up and a bit of time to make it a habit.  Well, now that you are all grown up I want you to consider MTWTFSS backups. I know, you are probably wondering why anyone would compare brushing and flossing to backups, but I’m going to tell you why… both should be done daily or the long term consequences are costly, bad, and you could lose it all.  Do you know what day it is? Do you know where your back up is?

ICD-10 Deadline Fast Approaching- Only 28 Months Away?

By Penny Henriksen, Genius Solutions' News Editor

Ok, yes, I can hear you rolling your eyes.  You're thinking, "28 months, are you kidding?  That's 2 years and 2 vacations away...really?" Being out and about over the last year and speaking with many of you I also have actually heard "Yeah, but it's the CMS.  It's going to get bumped."  Let's reason together for a few minutes and reflect on this, shall we?

Genius Solutions Presents: Coding Review Boot Camp w/ Karen Zook

Click on the flier for more information.

 

Take Command

Join us for a 2-day seminar of coding training & review Karen Zook walks you through everything you need to prepare to be a professional coder. You will learn how to code better, quicker, and properly to maximize both office payments and audit protection. It is also very beneficial to participate in a boot camp prior to taking a coding
certification exam. You will also earn 14 AAPC CEUs for this boot camp.

Seats are limited.* Reserve your spot today!

If you would like to register now, please complete and fax in this registration form. You can also download the flier (w/registration form) HERE.

Please fax your completed registration form to 586-751-9230. 

Emergencies and E-Data- A Wake Up Call

EHR’s can be a lifesaver as new convert St. John's Regional Medical Center in Joplin, Mo found out last month when it became part of Joplin’s tornado disaster.  According to an iHealthBeat article, the hospital had just converted to EHR 3 weeks prior to the tornado that wiped out and spread its paper records as far away as 75 miles.

You can Update to eTHOMAS v 9.2 Now!

As promised, eTHOMAS Version 9.2 has been released and is now available for download.  The “What’s New” Document for v 9.2 can be accessed by going to Genius on the Web under the Messaging Tab.  Once you are on Genius on the Web, click FYI at the top of the screen, and select General.  It will be listed under Genius Solutions Resources as eTHOMAS v9.2.

If you are an active, current Genius client office, the update is FREE; there is no charge for updates to the program if you are a current SoftCare subscriber.  If you aren’t up-to-date, don’t wait, update! (Unless you are beta testing any features or programs for us.  If you are beta testing something, call us before updating.)

Here is more on the "whys" and "how to-s" of good THOMAS updating.

First Incentive Paychecks Mailing Out to Non-Hospital EPs This Week

Per an Update e-mail from the ONCHIT (the Office of the National Coordinator of Health Information Technology), the first paychecks will be going out this week for individual eligible providers who completed their attestation for having met the meaningful use and other necessary requirements.  Per one of their Twitter messages this week:  “Incentive Programs have paid out $83,294,778.06 since January.”  Up to this point that would be mostly money that has gone out to Hospitals and possibly some Medicaid payments.

The ONCHIT’s newsletter also reiterated some of the money rules that apply to these payments, this year:

• Payment is based on 75% of Medicare allowed charges that are submitted no later than 2 months after the end of 2011 (the charges had to be this year, but you seem to have a grace period for reporting of up to 2 additional months).
• The max allowed incentive charges for this year is $24,000, which will yield a max check of $18,000 incentive payment.
• An eligible professional must meet the minimum threshold of $24000 in Medicare charges before they can be paid the incentive.  (I know they say you only have to report for 90 consecutive days this year, but it sounds like you may have to give yourself a longer than 90-day window if it will take you longer to generate the $24000 minimum Medicare charge threshold.  Bear this in mind as you decide when you want to start your attestation period this year to give yourselves enough time to generate the proper amount of charges.)
• You will receive payment to the TIN (taxpayer identification number) you selected during your registration for the incentive program.

Want to know more?  Check out the Medicare “Path to Payment” Incentive page.

eTHOMAS v 9.2+

Whoo-hooo!  We love a challenge and we love to add new accessories as much as you do, so I am pleased to give you a glimpse of the shiny, new, upcoming eTHOMAS v 9.2 release.  Now at the outset I can see your faces drooping saying “yeah, sure, new because you have to for the 5010 electronic format”.  However, we’re not just any software vendor, if we’re going to have a number change it’s because we want to give something more to our clients—YOU!  And did I mention?  We’re Genius.

UB-04

UB-04, also casually referred to as institutional or hospital billing, may be in your present or near future.  Many of you may work as outpatient facilities such as rehab or physical therapy facilities, etc. that may need to use this format.   At Genius we have been fielding an increasing number of calls regarding UB-04 billing:  Can eTHOMAS do it? Can we teach you UB-04 billing? Are there resources available for you “out there”?  So, here we go.

Changes this month…. New National Coordinator at the ONCHIT

Dr. David Blumenthal stepped down as the National Coordinator for Health Information Technology this month, replacing him is Farzad Mostashari, MD, ScM . Dr. Mostashari is not new to the ONCHIT office, he has been working with them and the previous National Coordinator since 2009. He was the Deputy National Coordinator for Programs and Policy when I was reviewing the big ONC HIT 2009 review at the end of last year.

CMS Offers Anti-RAC Tool, Based on RAC Findings

Don’t the RACs work for CMS? Is it possible? Did the RACs spawn something useful?

Indeed it appears they have, if you can a) find it, b) use it wisely. The RACs have created a new CMS Learning Resource that you are probably not aware of: the Medicare Quarterly Provider Compliance Newsletter. If you go by its tagline (and you can) the newsletter’s purpose is to help you with "Guidance to Address Billing Errors". As the RAC information is beginning to rack up, CMS has found a useful way to help you use the information that they are getting back from the RACs (Recovery Audit Contractors).

Don't Miss Out on any of the Money You've Earned

Did you miss out on money last month?

Then you don't want to miss out on this special seminar!  There were enough tips to keep you in extra cash next month and throughout the year.   Sign up Now for next Wednesday April 20, or plan ahead for Thursday May 12, you still have a chance to join Karen and learn how to make your office more profitable.

You can truly go back to your office and change your office life after attending this seminar.  You are worth it and this seminar will pay for itself and you, the first day you go back and use it.

My favorite Karen quote of the day?

"Specificity is God; be detailed. Payment and maximum payment are in the details."