Heart disease is the number one cause of death in Americans, claiming responsibility for 1 in every 4 deaths, according to the CDC. Cardiology is a specialized field that has distinct requirements for practice management and electronic medical record (EMR) software. EMR software is a key element in efficiently managing a cardiology practice and PQRS reporting.
In 2018, all eligible professionals will need to meet stage 3 meaningful use requirements. These requirements are technology focused and aim to increase engagement between the physician and the patient. Preparing for PQRS now will not only preserve the existing relationship you have with your patients, it will dramatically improve it.
How do you get your cardiology practice beating to the rhythm of PQRS?
Understand the penalties
The consequences for EPs and group practices who do not file PQRS in 2016 are more severe than past reporting periods, and incentives merely for filing PQRS will officially be a thing of the past. For individual EPs and group practices with 2 – 9 providers who do not file, the penalty will be 4%. For group practices with 10 or more providers, the penalty will reach 6%.
Have we convinced you to start preparing? Now, here’s how you get started:
Decide how you will participate
As an individual eligible practitioner (EP)
As part of a group practice
Determine the method in which you will submit PQRS quality measures
As an individual EP, you can submit PQRS data using the following methods:
There must be provisions to support clinical decision-making
Software must easily facilitate data sharing between other health care providers, as well as the patients themselves, to increase patient engagement.
In 2015, CMS shortened the reporting period for meaningful use from 1 year to 90 days for all participants. However, be aware that in 2016, only first-time participants of meaningful use will be eligible for a 90-day reporting period.
2. PQRS in 2016
2016 will bring a few changes to PQRS reporting:
The penalty for not reporting PQRS in 2016 PQRS will be 4% for solo providers, and groups with 2-9 providers and will jump to 6% for groups with 10 or more providers
Newly proposed cross-cutting measures will include preventive care and screening, unhealthy alcohol use, screening & brief counseling; breast cancer screening, falls, risk assessment and falls, and plan of care.
New measures groups will include cardiovascular prevention, diabetic retinopathy, and multiple chronic conditions.
For the 2016 reporting period, EPs will need to report at least 9 measures, covering at least 3 of the NQS domains.
To review all of the changes to PFS and PQRS for 2016 and their provisions, click here.
3. Analyze your accounts receivable and get your claims paid in a timely manner
Give yourself the best chance at receiving claims payments in a timely manner by establishing a clear system among your staff. This process starts at the front desk, where staff should make sure to always make a copy of insurance cards, double check that patients have completed all necessary information on the forms, and that information is inputted correctly into the system.
Provide a clear payment policy (which patients will sign) that will allow for the practice to collect overdue fees on-site for recurrent patients. Charge entries can cause a delay if they are entered with even the slightest of errors. Designate a staff member to manage charge entries in an undistracted office room. Finally, delegate time to follow-up on claims that are overdue.
4. Consider outsourcing billing
If you haven’t thought about outsourcing billing, take a moment to analyze how moving billing out of your office can help you focus more on patient care, reduce billing errors, ensure billing compliance, and free up some office expenses used on office supplies and updating billing software. Read more about some of the benefits of outsourced billing.
5. Focus on practice management
Administrative tasks can mount and cause frustration for physicians wanting more face time with patients. EMR IMS Software Training will help cut down on time spent learning new EMR systems and will help ease any anxiety that comes with the integration process.
The time to start is now. 1st Providers Choice is dedicated to assisting physicians run an efficient and more care-based practice. Interested in learning more about our ePrescribing software, EMR IMS Software Training, or other services? Contact us online or call 480-782-1116.