tag:blogger.com,1999:blog-4384692836709903146.post1426043820267523543..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Obtaining Meaningful Use Stimulus PaymentsJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4384692836709903146.post-65303232536826438842011-10-02T10:41:38.311-07:002011-10-02T10:41:38.311-07:00We attested for Medicare in the first few days. We...We attested for Medicare in the first few days. We were told we were approved but have seen no payments. Does anyone know where we could go to check on the status of our attestation and payement?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-60889113796858682002011-01-25T12:28:21.350-08:002011-01-25T12:28:21.350-08:00Thank you for the opportunity to comment. I wante...Thank you for the opportunity to comment. I wanted to chime in about your expectation as to which specialists will be ineligible for the Medicare version of the EHR Incentive Program for EPs. <br /><br />The two previous comments are generally correct. Most practicing radiologists will be eligible for the Medicare version of the EHR Incentive Program for EPs. The vast majority of practicing radiologists –- even those in hospital-contracted practices and AMCs –- do not provide 90 percent or more of their services in exclusively inpatient and ER hospital settings as determined by the POS code (21 or 23) on claims. <br /><br />Many anesthesiologists and pathologists are essentially in the same boat, even though those two specialties were singled out as examples of "hospital-based" professionals in the original legislative language. In reality, due to the use of POS codes on claims to determine eligibility, only Emergency Physicians and Hospitalists are going to be deemed "hospital-based" en masse.<br /><br />I would suggest that advisors on ONC’s federal advisory committees reach out to national groups like the American College of Radiology, American Society of Anesthesiologists, and College of American Pathologists to revisit what appears to be a key misunderstanding underlying the recommendations of the HIT Policy Committee and HIT Standards Committee. <br /><br />http://www.asahq.org/For-Members/Advocacy/Federal-Legislative-and-Regulatory-Activities/~/media/For%20Members/Advocacy/ASA%20in%20Washington/acr-asa-cap_onc-hitpc-meeting-request_12-15-2010.ashxAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-26959779314516419772011-01-25T10:10:34.863-08:002011-01-25T10:10:34.863-08:00I agree with Tom regarding radiologists eligibilit...I agree with Tom regarding radiologists eligibility for meaningful use. <b><i>Majority of radiologists, even in hospital based practice, will qualify as EPs as per CMS final rule</i></b>.<br /><br />Here is blurb from ACR's summary on CMS final rule: <br /><br /><b>Eligibility:</b> All physicians are eligible EXCEPT for those "hospital-based" physicians who provide >90% of their total Medicare (or Medicaid) services in POS Codes 21 (inpatient hospital) or 23 (ER hospital) locations. The difference in the Final Rule is that POS Code 22 (outpatient hospitals) was removed from the definition of “hospital-based,” per the tax extenders bill language from earlier this summer. One interesting note: CMS is expecting that only 14% of all Medicare physicians will be considered "hospital-based" and therefore ineligible.<br /><br />Here is <a href="http://www.acr.org/SecondaryMainMenuCategories/GR_Econ/FeaturedCategories/federal/ACR-Summary-CMS-and-ONC-Stage-1-Meaningful-Use-Final-Rules.aspx" rel="nofollow">link</a> to a summary of how MU applies to radiologists from American College of Radiology. Another good link for more information is <a href="http://www.radiologymu.org" rel="nofollow">www.radiologymu.org</a>.<br /><br />I would also like to know, how you are preparing/helping radiologists at BI qualify for incentives?KMSnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-9275686994298140512011-01-24T12:52:59.241-08:002011-01-24T12:52:59.241-08:00I would like to debate the statement that radiolog...I would like to debate the statement that radiologists generally cannot participate in Meaningful Use incentives.<br /><br />Since POS 22, Outpatient Hospital is part of the Eligible Professional bucket, the ACR (American College of Radiology) expects up to 90% of radiologists, including hospital-based radiologists, to qualify as Eligible Professionals. To say it another way, it is expected that most hospital-based radiologists have a POS 22 patient load of > 10%, allowing them to qualify as an EP. <br /><br />Since EPs cannot qualify for CMS incentives using Inpatient certified technology, as a CIO how are you going to help your radiologists qualify for incentives? This is an interesting question for medical imaging since its common for hospitals to own the RIS / PACS.Unknownhttps://www.blogger.com/profile/06542638463630937150noreply@blogger.com