JAMA: PCMH at federally funded health centers cost more
Unfortunately savings related to hospitalization, ER visits, medications and patient work productivity were not addressed. SV
http://jama.jamanetwork.com/article.aspx?articleid=1197012
http://jama.jamanetwork.com/article.aspx?articleid=1197016
http://www.modernmedicine.com/modernmedicine/article/articleDetail.jsp?id=779243&cid=PRAC
Thursday, June 28, 2012
Supreme Court has ruled 5-4 to affirm the Affordable Care Act with Individual Mandate
Individual Mandate treated as a tax.
Tell us what you think about the ruling. sv
Link to 193 page decision
Individual Mandate treated as a tax.
Tell us what you think about the ruling. sv
Link to 193 page decision
GAO Report: Majority of Medicare Physicians are using EHRS
Cudos to the ONC! Since the inception of the incentive program, the number of physicians documenting E/M codes with an EHR has doubled. Now let's get Interoperablity and Lab data exchanged hammered down. SV
Use of Electronic Health Record Systems in 2011 Among Medicare Physicians Providing Evaluation and Management Services
They found that 57 percent of Medicare physicians used an EHR system at their primary practice location in 2011. Twenty-two percent of physicians first began using EHR systems to document E/M services in 2011, the year that CMS commenced its incentive program. Additionally, three of every four Medicare physicians with an EHR system used a certified system to document E/M services. Finally, although many EHR systems can assist physicians in assigning codes for E/M services, we found that most Medicare physicians manually assigned E/M codes.
GAO
Report
Cudos to the ONC! Since the inception of the incentive program, the number of physicians documenting E/M codes with an EHR has doubled. Now let's get Interoperablity and Lab data exchanged hammered down. SV
Use of Electronic Health Record Systems in 2011 Among Medicare Physicians Providing Evaluation and Management Services
They found that 57 percent of Medicare physicians used an EHR system at their primary practice location in 2011. Twenty-two percent of physicians first began using EHR systems to document E/M services in 2011, the year that CMS commenced its incentive program. Additionally, three of every four Medicare physicians with an EHR system used a certified system to document E/M services. Finally, although many EHR systems can assist physicians in assigning codes for E/M services, we found that most Medicare physicians manually assigned E/M codes.
GAO
Report
Tuesday, June 19, 2012
PSA:NCQA 2008 SURVEY TOOL DEADLINE
June 30 2012 will be the last day NCQA will be selling the 2008 PPC-PCMH survey tools.
Thereafter, only the 2011 survey tool will be available.
(HINT:2008 is easier) SV
NCQA
June 30 2012 will be the last day NCQA will be selling the 2008 PPC-PCMH survey tools.
Thereafter, only the 2011 survey tool will be available.
(HINT:2008 is easier) SV
NCQA
Wednesday, June 06, 2012
Linkedin Password Breach
Here's a link to the Linkedin Blog.
Consider changing your passwords. SV
Linkedin
Here's a link to the Linkedin Blog.
Consider changing your passwords. SV
Thursday, May 31, 2012
Provider Education Video Presentations Now Available on the CMS YouTube Channel
Google plus Government: Free Educational Material. Check it out. SV
CMS
Google plus Government: Free Educational Material. Check it out. SV
CMS
Tuesday, May 29, 2012
Team USA: Olympics EHRs for Athletes
Bravo. The US Olympics Committee is also on board with EHRs! SV
The United States Olympic Committee announced today that, for the http://www.blogger.com/img/blank.giffirst time, it will use electronic medical records (EMR) for managing athlete care. The USOC will use GE’s Centricity* Practice Solution, an integrated EMR and practice management product, to manage the care of more than 700 athletes competing in the London 2012 Olympic and Paralympic Games as well as for 3,000 additional records maintained by USOC staff. The technology will replace pallets of paper records historically shipped by the USOC to the Games and will provide doctors with faster access to athletes’ medical records– ultimately supporting the doctor’s ability to provide more targeted care.
http://www.teamusa.org/For-the-Media/News.aspx
Bravo. The US Olympics Committee is also on board with EHRs! SV
The United States Olympic Committee announced today that, for the http://www.blogger.com/img/blank.giffirst time, it will use electronic medical records (EMR) for managing athlete care. The USOC will use GE’s Centricity* Practice Solution, an integrated EMR and practice management product, to manage the care of more than 700 athletes competing in the London 2012 Olympic and Paralympic Games as well as for 3,000 additional records maintained by USOC staff. The technology will replace pallets of paper records historically shipped by the USOC to the Games and will provide doctors with faster access to athletes’ medical records– ultimately supporting the doctor’s ability to provide more targeted care.
http://www.teamusa.org/For-the-Media/News.aspx
Sunday, May 27, 2012
AACP PCMH Diabetes Presentation at St. John's University (Queens) May 30 2012
This is a great program that highlights the benefits of cooperative activity between
pharmacists, physicians and other primary care providers.
Be sure to attend and share your impressions here. SV
AACP
Register here
Agenda
Research has identified that the gap that exists in providing the type of health services that can improve health outcomes is often ineffective systems of care and that 80 percent of medical errors are deemed to be system driven. To assist clinicians and health administrators identify and resolve systems-based barriers to optimal medication use, this educational program will introduce participants to a proven framework for managing performance improvement developed by the Institute for Healthcare Improvement (IHI).
Meeting Agenda
8:30 a.m. Welcome, Framing, Medication Use in the Medical Home - Todd Sorensen / Buzz Kerr
9:15 a.m. The Breakthrough Model for Improvement - Mark Loafman
9:30 a.m. Case Study – Local Organization in Action - Local Presenter
9:45 a.m. Engaging Physicians - Mark Loafman
10:00 a.m. Participant Roundtable Discussions
10:15 a.m. Break
10:35 a.m. Leadership and the Performance Improvement Team - Todd Sorensen
11:00 a.m. Defining the Population of Focus – The Case for Diabetes - Zandra Glenn
11:25 a.m. Understanding the PDSA Cycle - Mark Loafman
11:50 a.m. Participant Roundtable Discussions
12:00 p.m. Lunch
1:00 p.m. Creating and Sharing a Vision for Improved Medication Use - Todd Sorensen
1:30 p.m. The Role of Measurement in Performance Improvement - Zandra Glenn / Local Team
2:00 p.m. Participant Roundtables
2:15 p.m. The Role of QIOs in the PSPC and Beyond - QIO Presenter
2:30 p.m. Break
2:45 p.m. Concurrent Breakout Sessions
Breakout #1: Committing to Action and Developing a Performance Improvement Story - Mark Loafman/Zandra Glenn
Breakout #2: Performance Improvement and Interprofessional Education - Buzz Kerr
3:45 p.m. Wrap-up and Concluding Remarks - Todd Sorensen / Buzz Kerr
4:00 p.m. Adjourn
This is a great program that highlights the benefits of cooperative activity between
pharmacists, physicians and other primary care providers.
Be sure to attend and share your impressions here. SV
AACP
Register here
Agenda
Research has identified that the gap that exists in providing the type of health services that can improve health outcomes is often ineffective systems of care and that 80 percent of medical errors are deemed to be system driven. To assist clinicians and health administrators identify and resolve systems-based barriers to optimal medication use, this educational program will introduce participants to a proven framework for managing performance improvement developed by the Institute for Healthcare Improvement (IHI).
Meeting Agenda
8:30 a.m. Welcome, Framing, Medication Use in the Medical Home - Todd Sorensen / Buzz Kerr
9:15 a.m. The Breakthrough Model for Improvement - Mark Loafman
9:30 a.m. Case Study – Local Organization in Action - Local Presenter
9:45 a.m. Engaging Physicians - Mark Loafman
10:00 a.m. Participant Roundtable Discussions
10:15 a.m. Break
10:35 a.m. Leadership and the Performance Improvement Team - Todd Sorensen
11:00 a.m. Defining the Population of Focus – The Case for Diabetes - Zandra Glenn
11:25 a.m. Understanding the PDSA Cycle - Mark Loafman
11:50 a.m. Participant Roundtable Discussions
12:00 p.m. Lunch
1:00 p.m. Creating and Sharing a Vision for Improved Medication Use - Todd Sorensen
1:30 p.m. The Role of Measurement in Performance Improvement - Zandra Glenn / Local Team
2:00 p.m. Participant Roundtables
2:15 p.m. The Role of QIOs in the PSPC and Beyond - QIO Presenter
2:30 p.m. Break
2:45 p.m. Concurrent Breakout Sessions
Breakout #1: Committing to Action and Developing a Performance Improvement Story - Mark Loafman/Zandra Glenn
Breakout #2: Performance Improvement and Interprofessional Education - Buzz Kerr
3:45 p.m. Wrap-up and Concluding Remarks - Todd Sorensen / Buzz Kerr
4:00 p.m. Adjourn
Tuesday, May 22, 2012
GAO Report on CMS EHR Incentive Programs
Four major recommendations to verify providers have met program requirements.
Tell us what you think of the report and recommendations. SV
GAO
Four major recommendations to verify providers have met program requirements.
Tell us what you think of the report and recommendations. SV
GAO
Tuesday, May 15, 2012
MADE IN NY DIGITAL MAP
For my fellow New Yorkers and fans of the Empire State, here is great view what's going on here. SV
The Made in NY Digital Map is a visual testament to the vibrant state of New York's digital industry - showing a powerful constellation of over 500 homegrown startups, investors and coworking spaces across the five boroughs. Browse by neighborhood, review job postings, or add your own startup to the digital landscape - the Made in NY Map is a living resource that reflects New York City's dynamic innovation ecosystem.
Led by Mayor Bloomberg's commitment to realize New York City's digital potential, the Made in NY Digital Map was created by the Mayor's Office of Media and Entertainment in partnership with Internet Week NY and the New York Tech Meetup. Distribution of the map was also made possible thanks to the Association for a Better New York.
Made In NY
For my fellow New Yorkers and fans of the Empire State, here is great view what's going on here. SV
The Made in NY Digital Map is a visual testament to the vibrant state of New York's digital industry - showing a powerful constellation of over 500 homegrown startups, investors and coworking spaces across the five boroughs. Browse by neighborhood, review job postings, or add your own startup to the digital landscape - the Made in NY Map is a living resource that reflects New York City's dynamic innovation ecosystem.
Led by Mayor Bloomberg's commitment to realize New York City's digital potential, the Made in NY Digital Map was created by the Mayor's Office of Media and Entertainment in partnership with Internet Week NY and the New York Tech Meetup. Distribution of the map was also made possible thanks to the Association for a Better New York.
Made In NY
Thursday, May 10, 2012
CMS Has Posted Information on Recipients of Medicare EHR Incentive Program Payments
In compliance with the HITECH Act's requirement, CMS has posted the names, business phone numbers, and business addresses of Medicare eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that have successfully demonstrated meaningful use and received a payment as of March 2012. Medicare EPs, eligible hospitals, and CAH's were able to verify and edit their business phone numbers and addresses during the registration process. CMS has not posted information on group practices, as incentive payments are not provided at the group practice level.
Beginning this month, CMS is posting two file formats of Medicare EHR Incentive Program payment recipients. One format is a searchable PDF, and the other is a tabular downloadable CSV file that can be opened in many common spreadsheet programs. This CSV file can also be used to sort information about recipients, for example, by medical specialty or the state in which they practice. Use the links below to access the PDF and CSV files.
CSV Files
EP Recipients of Medicare EHR Incentive Program Payments
Hospital Recipients of Medicare EHR Incentive Program Payments
PDF Files
EP Recipients of Medicare EHR Incentive Program Payments
Hospital Recipients of Medicare EHR Incentive Program Payments
In compliance with the HITECH Act's requirement, CMS has posted the names, business phone numbers, and business addresses of Medicare eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that have successfully demonstrated meaningful use and received a payment as of March 2012. Medicare EPs, eligible hospitals, and CAH's were able to verify and edit their business phone numbers and addresses during the registration process. CMS has not posted information on group practices, as incentive payments are not provided at the group practice level.
Beginning this month, CMS is posting two file formats of Medicare EHR Incentive Program payment recipients. One format is a searchable PDF, and the other is a tabular downloadable CSV file that can be opened in many common spreadsheet programs. This CSV file can also be used to sort information about recipients, for example, by medical specialty or the state in which they practice. Use the links below to access the PDF and CSV files.
CSV Files
EP Recipients of Medicare EHR Incentive Program Payments
Hospital Recipients of Medicare EHR Incentive Program Payments
PDF Files
EP Recipients of Medicare EHR Incentive Program Payments
Hospital Recipients of Medicare EHR Incentive Program Payments
Tuesday, May 08, 2012
New York Digital Health Accelerator Information & Networking Event
May 10, 2012 | 5:15 pm – 8:00 pm EST
The TimesCenter, New York, NY
The program will begin at 5:15 pm SHARP
Register Today!
There will be streaming this event LIVE – Click here to watch on May 10!
May 10, 2012 | 5:15 pm – 8:00 pm EST
The TimesCenter, New York, NY
The program will begin at 5:15 pm SHARP
Register Today!
There will be streaming this event LIVE – Click here to watch on May 10!
Sunday, May 06, 2012
Western New York HIT Symposium Thriving In Constant Change
Date: Wednesday, June 20, 2012
Time: 8:30am to 4:00pm
Location: Roberts Wesleyan College, Cultural Life Center
2301 Westside Drive
Rochester, NY 14624
Program includes:
Surviving the ICD-10 Conversion
Meaningful Use Stage 2
Networking Opportunities
Vendors
Continental Breakfast & Lunch Buffet included
• Keynote “Meaningful Use Stage 2” – Ken Ong (CMIO, New York Hospital Queens)
Registration Information
HIMSS Members & Affiliates: $75
Student Members: $35
General Public: $100
Click Here to Register
Date: Wednesday, June 20, 2012
Time: 8:30am to 4:00pm
Location: Roberts Wesleyan College, Cultural Life Center
2301 Westside Drive
Rochester, NY 14624
Program includes:
Surviving the ICD-10 Conversion
Meaningful Use Stage 2
Networking Opportunities
Vendors
Continental Breakfast & Lunch Buffet included
• Keynote “Meaningful Use Stage 2” – Ken Ong (CMIO, New York Hospital Queens)
Registration Information
HIMSS Members & Affiliates: $75
Student Members: $35
General Public: $100
Click Here to Register
Tuesday, May 01, 2012
Join us at the New York State HIMSS Advocacy Day May 14, 2012
Sign-up to participate in our 2012 New York HIMSS Advocacy event
Monday May 14, 2012 from 1 – 5pm
Legislative Office Building
198 State Street
Albany, NY 12210
Sign up here
Sign-up to participate in our 2012 New York HIMSS Advocacy event
Monday May 14, 2012 from 1 – 5pm
Legislative Office Building
198 State Street
Albany, NY 12210
Sign up here
Friday, April 27, 2012
HIMSS NYS MINI-HIMSS was a success!
Thanks to to all the attendees, volunteers, speakers and vendors for making the event such a success.
Stay tuned at HIMSS NYS for future events. SV
Thanks to to all the attendees, volunteers, speakers and vendors for making the event such a success.
Stay tuned at HIMSS NYS for future events. SV
Thursday, April 26, 2012
NY Digital Health Accelerator Launched – Applications Being Accepted!
The New York eHealth Collaborative along with the New York City Investment Fund and the NYS Department of Health, has launched the New York Digital Health Accelerator (NYDHA) to fund 12 early- and growth-stage companies that are developing cutting-edge technology products in care coordination, patient engagement, analytics, and message alerts for healthcare providers.
The program’s participating providers are actively looking for new technology products that will help them effectively implement the new Health Home model, which is part of New York’s Medicaid redesign initiative. Approximately 975,000 patients with multiple chronic illnesses are being transitioned from fee-for-service to this new managed care model.
Program Features
• 12 tech companies accepted into the 9 month program will receive direct mentorship and feedback from senior-level executives at a broad network of provider organizations in New York State.
• The program will provide up to $300,000 of funding per company from a syndicate of leading venture capital and strategic investors.
• Selected companies will have priority access to the technology platform that is connecting electronic health records across New York State, the Statewide Health Information Network of New York (SHIN-NY).
• A leadership program which provides an opportunity to interact with a network of healthcare leaders, successful entrepreneurs and investors.
Who Should Apply
• We are interested in early- and growth-stage companies where access to clinical and technical feedback from provider organizations could have a meaningful impact on the company’s development prospects.
• At a minimum, the company should have a beta version of its technology.
Apply at www.DigitalHealthAccelerator.org The deadline to apply is June 1, 2012
The New York eHealth Collaborative along with the New York City Investment Fund and the NYS Department of Health, has launched the New York Digital Health Accelerator (NYDHA) to fund 12 early- and growth-stage companies that are developing cutting-edge technology products in care coordination, patient engagement, analytics, and message alerts for healthcare providers.
The program’s participating providers are actively looking for new technology products that will help them effectively implement the new Health Home model, which is part of New York’s Medicaid redesign initiative. Approximately 975,000 patients with multiple chronic illnesses are being transitioned from fee-for-service to this new managed care model.
Program Features
• 12 tech companies accepted into the 9 month program will receive direct mentorship and feedback from senior-level executives at a broad network of provider organizations in New York State.
• The program will provide up to $300,000 of funding per company from a syndicate of leading venture capital and strategic investors.
• Selected companies will have priority access to the technology platform that is connecting electronic health records across New York State, the Statewide Health Information Network of New York (SHIN-NY).
• A leadership program which provides an opportunity to interact with a network of healthcare leaders, successful entrepreneurs and investors.
Who Should Apply
• We are interested in early- and growth-stage companies where access to clinical and technical feedback from provider organizations could have a meaningful impact on the company’s development prospects.
• At a minimum, the company should have a beta version of its technology.
Apply at www.DigitalHealthAccelerator.org The deadline to apply is June 1, 2012
EHR users not attesting to Meaningful Use because of EHRs?
A Health Affairs Article found a surprising percentage of practices that were ready to attest but did not due to limitations of their EHRs. SV
Please share your experiences with us.
Health Affairs
A Health Affairs Article found a surprising percentage of practices that were ready to attest but did not due to limitations of their EHRs. SV
Please share your experiences with us.
Health Affairs
Monday, April 23, 2012
CMS EHR Incentive Program Payments as of March 2012: $4,484,340,767!!!
For those of you who have not yet moved to an EHR, I strongly encourage you to contact your RECs (Regional Extension Centers), AMA, State Medical Societies, Specialty Organizations and get the advice you need to proceed. SV
CMS
For those of you who have not yet moved to an EHR, I strongly encourage you to contact your RECs (Regional Extension Centers), AMA, State Medical Societies, Specialty Organizations and get the advice you need to proceed. SV
CMS
Friday, April 13, 2012
Annual NYS HIMSS Conference - Meaningful Use: Next Steps, Friday, April 27, 2012
Agenda
7:45am – 9:00am: Registration/Continental Breakfast & Vendor Networking
9:00am – 9:15am: New York HIMSS President’s Message Speaker: Joe Wagner, MPA, FHIMSS, Principal, TELUS Healthcare
9:15am – 9:30am: HIMSS Board Welcome - Speaker: Ken Ong, MD, MPH, FACP, FIDSA , CMIO of New York Hospital Queens
9:30am – 10:30am: Key Note - Learnings from the NYS EHR implementations to date - Impacts on Quality of Care Speaker: Amanda Parsons, MD, Assistant Commissioner of the Primary Care Information Project, NYC Department of Health & Mental Hygiene
10:30am – 10:45am: Morning Break
10:45am – 11:45am: Key Note - NYS Priorities for Health IT Transformation; Speaker: Rachael Block, Deputy Commissioner, Office of Health Information Technology Transformation NYS Department of Health
11:45am – 1:30pm: Lunch, Vendor Fair & Networking
1:30pm – 2:30pm: Key Note: SHIN-NY – 2.0; Speaker: David Whitlinger, Executive Director, New York eHealth Collaborative
2:30pm – 2:45pm: Afternoon Break
2:45pm – 3:45pm: Breakout Session 1: Meaningful Use Next Steps: Stage 2 - Speaker: Ken Ong, CMIO of New York Hospital Queens
2:45pm – 3:45pm: Breakout Session 2: Physician HIT Best Practices for Driving Success in 2012 and beyond, Speaker: Judi Painter, Regional Sales Manager e-MD’s
3:45pm – 4:45pm: Breakout Session 3: ACO’s
Speaker: Alan Gilbert, MPA, FHIMSS, Partner, Value Catalyst
Breakout Session 4: Meaningful Use - a Case Study; Speaker: Carol Boberg, BI & Analytics Manager, Encore Health Resources
3:45pm – 4:45pm: Breakout Session 4: Meaningful Use - a Case Study, Speaker: Carol Boberg, BI & Analytics Manager Encore Health Resources
4:45pm – 6:15pm: Networking Session
If you are not a HIMSS member - we recommend joining now! Join before registering
for this conference - and save $75!
Early Registration
HIMSS Member Registration (Early Registration) -- $ 125
Non-Member Registration (Early Registration) -- $ 200 Student Price -- $30
Late Registration (After April 17, 2012):
HIMSS Member Registration (Late Registration)-- $ 150
Non-Member Registration (Late Registration) -- $ 225
www.himssnys.org
Agenda
7:45am – 9:00am: Registration/Continental Breakfast & Vendor Networking
9:00am – 9:15am: New York HIMSS President’s Message Speaker: Joe Wagner, MPA, FHIMSS, Principal, TELUS Healthcare
9:15am – 9:30am: HIMSS Board Welcome - Speaker: Ken Ong, MD, MPH, FACP, FIDSA , CMIO of New York Hospital Queens
9:30am – 10:30am: Key Note - Learnings from the NYS EHR implementations to date - Impacts on Quality of Care Speaker: Amanda Parsons, MD, Assistant Commissioner of the Primary Care Information Project, NYC Department of Health & Mental Hygiene
10:30am – 10:45am: Morning Break
10:45am – 11:45am: Key Note - NYS Priorities for Health IT Transformation; Speaker: Rachael Block, Deputy Commissioner, Office of Health Information Technology Transformation NYS Department of Health
11:45am – 1:30pm: Lunch, Vendor Fair & Networking
1:30pm – 2:30pm: Key Note: SHIN-NY – 2.0; Speaker: David Whitlinger, Executive Director, New York eHealth Collaborative
2:30pm – 2:45pm: Afternoon Break
2:45pm – 3:45pm: Breakout Session 1: Meaningful Use Next Steps: Stage 2 - Speaker: Ken Ong, CMIO of New York Hospital Queens
2:45pm – 3:45pm: Breakout Session 2: Physician HIT Best Practices for Driving Success in 2012 and beyond, Speaker: Judi Painter, Regional Sales Manager e-MD’s
3:45pm – 4:45pm: Breakout Session 3: ACO’s
Speaker: Alan Gilbert, MPA, FHIMSS, Partner, Value Catalyst
Breakout Session 4: Meaningful Use - a Case Study; Speaker: Carol Boberg, BI & Analytics Manager, Encore Health Resources
3:45pm – 4:45pm: Breakout Session 4: Meaningful Use - a Case Study, Speaker: Carol Boberg, BI & Analytics Manager Encore Health Resources
4:45pm – 6:15pm: Networking Session
If you are not a HIMSS member - we recommend joining now! Join before registering
for this conference - and save $75!
Early Registration
HIMSS Member Registration (Early Registration) -- $ 125
Non-Member Registration (Early Registration) -- $ 200 Student Price -- $30
Late Registration (After April 17, 2012):
HIMSS Member Registration (Late Registration)-- $ 150
Non-Member Registration (Late Registration) -- $ 225
www.himssnys.org
Tuesday, April 03, 2012
CMS Announces Extension of Eligibility Appeals Deadline to April 30
CMS is extending the deadline for eligible professionals (EPs) to submit eligibility appeals under the Medicare Electronic Health Record (EHR) Incentive Programs' 2011 payment year. The new deadline is April 30, 2012, giving EPs an extra month to file their appeals.
An eligibility appeal allows a provider to show that all the requirements for the Medicare EHR Incentive Program were met and that he or she should have received a payment but could not because of circumstances outside of the provider's control.
CMS affords providers with a two-level appeal process: an informal review and a request for reconsideration. Within the two-level appeal process, there are three types of appeals that can be filed in the Medicare EHR Incentive Program: (1) eligibility, (2) meaningful use, and (3) incentive payment appeals.
Detailed guidance on the appeals process and additional information on all of the appeal types are available on the OCSQ website.
Note: For general questions and for information on how to file an appeal, providers may contact Provider Resources, Inc., CMS' designated appeal support contractor, via phone between 9 a.m. and 5 p.m. EST, Monday through Friday or via email.
1. Toll-free number: 855-796-1515
2. Email: OCSQAppeals@provider-resources.com
CMS is extending the deadline for eligible professionals (EPs) to submit eligibility appeals under the Medicare Electronic Health Record (EHR) Incentive Programs' 2011 payment year. The new deadline is April 30, 2012, giving EPs an extra month to file their appeals.
An eligibility appeal allows a provider to show that all the requirements for the Medicare EHR Incentive Program were met and that he or she should have received a payment but could not because of circumstances outside of the provider's control.
CMS affords providers with a two-level appeal process: an informal review and a request for reconsideration. Within the two-level appeal process, there are three types of appeals that can be filed in the Medicare EHR Incentive Program: (1) eligibility, (2) meaningful use, and (3) incentive payment appeals.
Detailed guidance on the appeals process and additional information on all of the appeal types are available on the OCSQ website.
Note: For general questions and for information on how to file an appeal, providers may contact Provider Resources, Inc., CMS' designated appeal support contractor, via phone between 9 a.m. and 5 p.m. EST, Monday through Friday or via email.
1. Toll-free number: 855-796-1515
2. Email: OCSQAppeals@provider-resources.com
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