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IN THIS ISSUE ...

AAOE Toolkit: Physician Quality Reporting System (PQRS)
  • eBook: PQRS: Participation Tools 2014
  • Book: HCPCS Level II Professional 2014
  • Online Course: Physician Quality Reporting System
  • Blog: The Five Things You Need to Know About PQRS 2014
  • Article: Physician Quality Measure Reporting
  • Presentation: Understanding Physician Quality Reporting System (PQRS) Requirements in 2014
  • Resource: CMS.gov — PQRS Timeline
  • Resource: PQRS Measures Group

  • Calendar of Events
  • Calendar

  • Leak of the Week
  • AAOE Conference Attendees — Get Your AAOE Gear in Time for DC

  • Within Your Practice Walls
  • Feds: Healthcare spending jumped dramatically in the 1st quarter
  • Preserving the integrated model of care
  • Medicare's look-up tool for doc pay reveals and conceals
  • Stakeholders to feds: mHealth should be part of MU
  • CMS tips its hand on new ICD-10 date
  • Implementing health reform: COBRA/ACA interaction and other developments
  • Study: Rural doctors make more
  • Doctors think the other guy often prescribes unnecessary care




  • AAOE TOOLKIT

    PQRS: Participation Tools 2014
    AAOE
    Available through the American Medical Association for $79.99, this eBook makes the tools available that help professionals reporting to the PQRS program identify appropriate measures that can be reported. Each tool includes three components: the measure's definition, relevant coding and a worksheet for data collection that helps to highlight the important steps to report the measure.
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    HCPCS Level II Professional 2014
    AAOE
    Locate the right code the first time, work efficiently and reduce workload. This book, available through Amazon, features PQRS icons, comprehensive code updates, APC status indicators, ASC designation symbols, in-depth illustrations, color-coded bars and icons, and so much more.
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    Physician Quality Reporting System
    AAOE
    This online course, available from the Medical Management Institute and approved for 3 CEU credits, is a useful resource for Medicare providers. This course provides a general overview of PQRS including important policies, the difference between claims based and registry-based reporting options, and what is important to avoid the 1.5% penalty of 2015. The online course will help you learn by reviewing examples of real practices. Worth 3 CEUs, the learning is by video and interactive tools, and includes a final exam.
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    The Five Things You Need to Know About PQRS 2014
    AAOE
    Many practices struggle with PQRS not only from measure selection, but also from prior non-participation. Therapists also have to get aboard and report quality measures in order to avoid adjustments in reimbursement for their services. This blog outlines the measures into categories. The blog also includes links to the final rule and functional deficit measures. It will take your therapist through the process for successful reporting.
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    SPONSORED CONTENT


    Physician Quality Measure Reporting
    AAOE
    If your practice is reporting PQRS for the first time, this article, available through the American Medial Association will help to step you and your physicians through the process. The article goes through the history of the program to give you a better understanding to be able to have conversations with your staff and physicians. There is also a section outlining the incentives and penalties for non-participation.
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    Understanding Physician Quality Reporting System (PQRS) Requirements in 2014
    AAOE
    This presentation outlines the eligible professionals, showing who should be participating in reporting quality measures, as well as the five reporting systems required. You will also know which reporting options are available, what the penalties and incentives are for participating, reporting requirements and how to choose quality measures for reporting.
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    CMS.gov — PQRS Timeline
    AAOE
    CMS has a PQRS Timeline that is in a printable format. It is simple to understand and is a good visual for physicians and shows where a practice is and the deadlines that need to be met to achieve PQRS and not have a penalty assessed.
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    PQRS Measures Group
    AAOE
    Many orthopaedic practices have Physical and Occupational Therapy. PT's and OT's are eligible providers for reporting PQRS. The APTA has links directly to the measures that would apply to the PT providers and these are in a printable format instead of having to go through the entire 613 pages to find the information.
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    CALENDAR OF EVENTS

    Date Time (EST) Event More Information
    May 6 12 - 1 p.m. AAOE 2014 Advocacy Webinar: How to Make Your Voice Heard in DC and at Home Details
    May 8 12 - 1:30 p.m. A Meaningful Review of Stage 2 Objectives for Orthopaedics [P2P] Details
    May 22 12 - 1 p.m. An Analysis of Orthopedic Claims [HTW] Details
    May 31- June 3 AAOE Annual Conference Details
    June 12 12 - 1:30 p.m. Beyond HIPAA — Security Risks in Healthcare IT Details
    June 26 12 - 1 p.m. Technology Solutions to Mitigate Revenue Cycle Challenges for Orthopaedic Practices Details
    July 31- Aug. 3 2014 South Carolina Association of Orthopaedic Executive Annual Meeting Details
    Sept. 12-14 BONES Society of Florida Annual Meeting Details
    Oct. 2-4 2014 Midwest AAOE Fall Meeting Details
    Aug. 6-9 2015 2015 South Carolina Association of Orthopaedic Executives Annual Meeting Details
    Sept. 24-26 2015 2015 BONES Society of Florida Annual Meeting Details

       [P2P]: AAOE Peer-to-Peer Audio Conference
       [HTW]: Hot Topic Webinar


    LEAK OF THE WEEK


    AAOE Conference Attendees — Get Your AAOE Gear in Time for DC!
    AAOE
    Order your AAOE Conference gear today. Only available until May 9, 2014, you can order shirts, hats, jackets and many other accessories. Orders can only be delivered to the conference. Hurry because the deadline to order is approaching fast!
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      PRODUCT SHOWCASES
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    WITHIN YOUR PRACTICE WALLS


    Feds: Healthcare spending jumped dramatically in the 1st quarter
    Washington Business Journal
    The big news coming out of report on the GDP from the Bureau of Economic Analysis? Just how fast health care spending jumped in the first quarter of the year. In fact — at nearly 10 percent growth, or $43.3 billion more in spending in the first quarter — it's the biggest jump since 1980, Business Insider reported.
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    Preserving the integrated model of care
    The Hill
    Bending the cost curve in healthcare is no small feat, and lately there has been a lot of talk about physician reimbursement and the costs of certain medical procedures. In the midst of these heated — and often politicized — debates over compensation and pricing, it's important to focus on cost-cutting measures that maintain, if not improve, the quality of healthcare. One such example is the integrated model of care.
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    Medicare's look-up tool for doc pay reveals and conceals
    Medscape
    The Centers for Medicare & Medicaid Services, which sparked controversy earlier this month when it released data detailing Medicare payment of $77 billion in 2012 to more than 880,000 clinicians, has joined a small number of groups offering an online tool to look up an individual clinician's reimbursement.
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    Stakeholders to feds: mHealth should be part of MU
    Government Health IT
    The Telecommunications Industry Association called on national coordinator Karen DeSalvo, M.D. to make sure the voluntary guidelines are flexible enough to allow for "the delivery of healthcare in motion, virtually anywhere and at any time," in a nine-page document TIA sent to the Department of Health and Human Services' Office of the National Coordinator for Health IT.
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    FEATURED ARTICLE
    TRENDING ARTICLE
    MOST POPULAR ARTICLE
    PQRS: Participation Tools 2014
    AAOE
    Available through the American Medical Association for $79.99, this eBook makes the tools available that help professionals reporting to the PQRS program identify appropriate measures that can be reported. Each tool includes three components: the measure's definition, relevant coding and a worksheet for data collection that helps to highlight the important steps to report the measure.

    Share on FacebookTwitterShare on LinkedinE-mail article
    read more
    Report: Meaningful use has not improved health IT enough
    EHRIntelligence.com
    The first two stages of meaningful use have not gone far enough to develop an industry-wide health data infrastructure, says a new report compiled by governmental advisory agency JASON and funded by the AHRQ. While providers have made great leaps towards implementing EHRs and other health IT projects, the report notes that adoption rates have been laborious.

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    read more
    A potential new defense in medical malpractice cases
    Law360
    Methodist Hospital v. German (2011) has provided counsel with a new avenue of defense concerning nursing and/or institutional care in alleged medical malpractice actions. In general, medical malpractice cases have been fought on two fronts, breach of the standard of care and causation. Rarely do cases hinge on the element of duty.

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    read more


    CMS tips its hand on new ICD-10 date
    Health Data Management
    The Centers for Medicare and Medicaid Services seems to have set a soft date and a soft announcement of Oct. 1, 2015, for the new ICD-10 compliance date. In a proposed rule made available on April 30 that sets hospital and long-term care inpatient payment rates and rules for fiscal 2015, CMS includes a Request for Public Comments on ICD-10-CM/PCS Transition, which states: "The ICD-10-CM /PCS transition is scheduled to take place on Oct. 1, 2015. After that date, we will collect nonelectronic health record-based quality measure data coded only in ICD-10-CM/PCS."
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    Implementing health reform: COBRA/ACA interaction and other developments
    Health Affairs
    With the 2014 open enrollment period having finally drawn to a close, the implementing agencies have turned their attention to a number of ongoing ACA issues. On May 2, 2014, the Employee Benefits Services Administration of the Department of Labor issued a notice of proposed rulemaking proposing revisions to notices regarding continuation coverage that employers must provide to their employees under the Consolidated Omnibus Reconciliation Act of 1985. EBSA also released two model notice forms for employers to use for providing COBRA notices to their employees, as well as a series of frequently asked questions addressing the relationship between COBRA and the Affordable Care Act and other ACA issues.
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    Study: Rural doctors make more
    Modern Healthcare
    Rural physicians tend to make more money on average than those in major cities, according to a congressional report from the Medicare Payment Advisory Commission. A separate, annual study of doctor salaries by WebMD subsidiary Medscape shows that the Southeast, specifically, has one of the highest average doctor salaries in the nation. A 2003 act increased Medicare rates for rural physicians, and rural hospitals often have to pay more to bring in those same doctors.
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    Doctors think the other guy often prescribes unnecessary care
    NPR
    Three out of four physicians believe that fellow doctors prescribe an unnecessary test or procedure at least once a week, a survey finds. The most frequent reasons that physicians order extraneous — and costly — medical care are fears of being sued, impulses to be extra careful and desires to reassure themselves about their assessments of patients, the survey said.
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    Colby Horton, Vice President of Publishing, 469.420.2601
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