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Digitize Your Medical Practice

Digital Check-in

Technology is advancing quickly here in the 21st century. As a result, medical practices should take steps to upgrade the technological capabilities of their practices with fast internet access, up-to-date software and computers, otherwise, they could be left behind. EFTs – Electronic Funds Transfers EFTs help you to receive your payments electronically from health plans. This Read more

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CMS Finalizes the Meaningful Use Rules

Meaningful Use Stages

On October 6, 2015, the Centers for Medicare and Medicaid Services (CMS) and the National Coordinator of Health IT (ONC) released the 752-page final rule for the EHR Incentive Programs, which they say will ease reporting requirements for providers. The rule finalizes proposals that were made by the agency back in April of 2015. This Read more

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Anatomy of Medicare Parts?

Medicare Part E

Everyone in the healthcare industry is anticipating the complete overhaul of the reimbursement methods to providers. Going down the list of the various Medicare parts, the next in sequence–alphabetically–is “E”. Hence, the new model is named “Medicare Part E”. Currently, Medicare reimburses providers as follows: Part A = Hospital, Skilled Nursing Facility, Hospice and Home Health Read more

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New Rule Gives Patients Direct Access to Lab Test Results

Laboratory Test

On Monday, the U.S. Department of Health and Human Services (HHS) announced that patients will soon be able to obtain their medical test results directly from their laboratory, rather than having to request a copy from their physician’s office. Currently, 13 states currently prohibit labs from releasing test results directly to patients. At the present, Read more

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Medi-Cal to Increase Pay Rate to Match Medicare’s Rates

Medicaid to Medicare Fee Index

Pursuant to the Affordable Care Act (ACA) and 42 CFR 447, State Medicaid agencies are required to reimburse Primary Care Physicians with a specialty designation of Family Medicine, General Internal Medicine, or Pediatric Medicine or related pediatric sub-specialties, at parity with Medicare for specified Evaluation and Management (E&M) and Vaccine Administration services. On average, Medi-Cal reimbursement is Read more

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Cal MediConnect – California’s Duals Demonstration

Duals MediConnect in 8 Counties

“Dual Eligible Beneficiaries” are seniors and people with disabilities who are dually eligible for both of the public and health insurance programs. Both the state Medi-Cal program and the federal Medicare program are partnering to launch a 3-year demonstration to promote coordinated health care delivery to these dual eligible beneficiaries. The program will be called Read more

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Getting Ready for 2014 eHealth Milestones

Health Care Reform

Centers for Medicare & Medicaid Services (CMS) is advising providers and groups to start planning and getting ready for 2014 deadlines affecting electronic health record (EHR) programs. Some of the major deadlines are as follows: January 1: Administrative simplification operating rules for electronic funds transfers (EFT) and remittance advice. Stage 2 for eligible professionals (EPs) Read more

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Avoid a 2% Penalty for Not Using eRx

Medicare E-Prescription Payment Adjustment 2013-2014

To avoid a 2% penalty on all Medicare Part B claims in 2014, physicians must by June 30, 2013, report e-prescribing activity using measure code G8553 with at least 10 fee-for-service claims between January 1 and June 30, 2013. This is true even for physicians who are already reporting through an electronic health record (EHR) system. Read more

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Medicare is Reorganizing, How Will This Affect You?

Map of Medicare Administrative Contractors (MAC)

The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) authorized the Centers for Medicare & Medicaid Services (CMS) to make significant changes to the Medicare fee-for-service program’s administrative structure that will make the Medicare program “dynamic, competitive and performance-based”.  Subsequently, CMS replaced the fiscal intermediary (FI) and carrier contracts and integrated the administration Read more

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Single Health Plan for 456,000 Californians Coming Soon

CalDuals - Medicare and MediCaid

Beginning October 2013, Californians who are eligible for both Medicare and Medicaid (Medi-Medi) will have to sign up with one single health plan. This is as a result of a signed Duals Demonstration Memorandum of Understanding (MOU) on March 27, 2013 between California’s Department of Health Care Services (DHCS) and the federal Centers for Medicare and Medicaid Services (CMS). This Read more

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