Medicare

EHR Hardship Exemption

The following information is from the Centers for Medicare & Medicaid Services (CMS) regarding the Electronic Health Records (EHR) payment reduction hardship exemption:

    Hardship Exceptions for Medicare EPs

Testing & Screening Tools (Resource 284)

There are numerous types of behavioral health screening tools available for healthcare providers. This page includes some general information and resources for some of these screening tools. Let us know if you would like others included here as well.

AUDIT - Alcohol Use Disorders Identification Test

10 Question survey - can be done as interview or as patient completed questionaire.

The MLN Connects Provider eNews for February 5, 2015 included the following notice:

CMS Intends to Engage in Rule making for EHR Incentive Program Changes for 2015

If you are an eligible professional participating in the Medicare EHR Incentive Program, you have until February 28, 2015 to attest to demonstrating meaningful use of the data collected during your EHR reporting period for the 2014 calendar year.

If you are an eligible professional participating in the Medicare EHR Incentive Program, you have until February 28, 2015 to attest to demonstrating meaningful use of the data collected during your EHR reporting period for the 2014 calendar year.

40-Effect of Beneficiary Agreements Not to Use Medicare Coverage

(Rev. 160, Issued: 10-26-12, Effective: 01-28-13, Implementation: 01-28-13)

(Rev. 194, 09-03-14)

 

On November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2015 services paid under the MPFS for the first 14 calendar days of January 2015 (i.e., Thursday January 1 through Wednesday January 14).

December 8, 2014

Medicare requires direct supervision of all hospital outpatient therapeutic services unless CMS makes an assignment of either general or personal supervision for an individual service.

CMS posted a three page list of Hospital Outpatient Therapeutic codes that were evaluated for a change in supervision levels. There is also a hybrid level of supervision for certain services described as non-surgical extended duration therapeutic services (NSEDTS). Refer to CFR 410.27 (a)(1)(iv)(E) for a description of NSEDTS.

All sponsors are required to adopt and implement an effective compliance program, which must include measures to prevent, detect and correct Part C or D program noncompliance as well as FWA.

The compliance program must, at a minimum, include the following core requirements:

 1. Written Policies, Procedures and Standards of Conduct;

 2. Compliance Officer, Compliance Committee and High Level Oversight;

 3. Effective Training and Education;

 4. Effective Lines of Communication;

All persons who provide health or administrative services to Medicare enrollees must satisfy general compliance and FWA

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