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Important takeaways for your office regarding Merit-based Incentive Performance System (M.I.P.S.) meaningful use (formerly PQRS & EHR) starting January 1, 2017. Printable View
Exciting news for many for small/medium sized offices! You will no longer be penalized by bureaucracy. EHR certification is no longer mandatory and even better is the addition of a participation threshold that removes this Meaningful Use burden from many practitioners.
M.I.P.S. explained – click image for more info
- Simply put M.I.P.S. (formerly PQRS, EHR, Meaningful Use, etc) incentives and penalties do not apply to many offices/Drs. This includes new Medicare practitioners and offices/Drs who treat less than 100 unique Medicare patients per year AND bill $30,000 to Medicare based on the Medicare allowed amounts. You can run the M.I.P.S.report in ChiroPulse to see if you met that threshold over the past few years to help determine if M.I.P.S. applies to your office in 2017.
- PQRS reporting ends 12/31/2016 so report thru 12/31/16 as it effects 2018 payments.
- Merit-based Incentive Performance System (M.I.P.S.) reporting/collecting starts 1/1/2017 (MIPS is a formula that includes Quality Measures, Cost, Improvement Activities & Advancing Care Information (EHR use) and possible payment adjustments begin 2 years later.
- EHR certified software & use is no longer directly rewarded, nor are you penalized for not using EHR certified software. EHR use counts for a portion of your MIPS score (25%) but you can still gain an incentive payment if your score is 70 or above which is attainable with the other three components. You can submit a hardship application to Medicare to opt out of EHR Certified software utilization via simple explanations (such as ChiroPulse office software not being EHR certified 2017) and have that portion of your score assigned to one of the other areas. The important takeaway is that the simple lack of EHR software certification & 100% meaningful use does not cause financial penalty to your office.
Start to finish – Instructions for using ERA 835 Electronic Payments in ChiroPulse365.
Step 1 – Sign up with your clearing house or insurance carrier to receive ERA 835 files. This entails filling out a few forms which can be obtained from your carrier/clearinghouse. The process takes anywhere from 2-8 weeks. Please note that most clearinghouses charge for this service so it may be beneficial to contact your insurance carrier directly to find out how to receive their ERA’s at no additional cost.
Step 2 – Enter the Payor ID and 835 Payer ID for each insurance carrier. Continue reading
ChiroPulse features an enhanced ICD Selector/Finder in Claim Wizard to make ICD-10 selection easier than in the past. As before you can type in the name or code and press Enter/Find.
Now it features universal search by code or description allowing you to OMIT certain text also making finding ICDs easier. The search also finds partial matches, making it easier to look up the code you need. Continue reading
Updated 10/28/2015. During the ICD-10 “go live” timeframe, please refresh ChiroPulse immediately (when prompted or check the Live Notes are of the login page) to make sure your office has the latest ICD-10 enhancements and logic. Printable View
Helpful companion article: ICD-10 Frequent questions click here.
IMPORTANT POINTS FOR GO LIVE ICD-10: Continue reading
An exciting add-on service is available to ChiroPulse365 subscribers which lets your office automatically input payments quickly into ledger via Electronic Payment 835 ERA files. This is a huge time-saver for your office staff! You can obtain the Electronic Payment 835 ERA (Electronic Remittance Advice) file from your clearinghouse/carrier and now quickly import hundreds (or thousands!) of line-item “payment” entries into the Ledger of many patients very quickly. This is not only much faster than manual entry of this payment data but the input is 100% accurate with no typos or mistakes.
The Electronic Payments add-on is available in “pre-release” to select users at NO COST! To gain early access please use the form at the bottom of this page. Upon full-release of the “Electronic Payments Add-on” all ChiroPulse365 subscribers will be given free unlimited-use of this add-on for a number of days. We know demand is high for this feature but we want to get it 100% right so during the pre-release time we’ll be sorting out a few more regional clearinghouses & carriers. Printable View Continue reading
ChiroPulse has Microsoft Outlook (Office365 or Office 2013) support to make it hassle free (see info below) to send email seemlessly, including calendar events. This article highlights the email notification options for patients & doctors regarding scheduler. Use “preferred options” “e-mail setup” tab to configure your email setup. Once completed you can email patients & doctor from scheduler. We highly recommend using Outlook/Office365.
ChiroPulse365 (refresh x.1401+) is ready for the new CMS-1500 2014 (02-12) paper form that most carriers will be accepting 4/1/2014. This form (and “plain text EDI file) adds some new fields & qualifiers that applies to paper/print. All PIN/Overrides are available as used before with prior claim forms (print & electronic). Three “invoices” typically apply:
- Paper Printed: CMS-1500 Form 2014 (Revision 02-12)
- Electronic Submission: Plain Text 2014 (typically requires one-time “mapping” by your clearinghouse)
- Electronic Submission: ANSI837 5010 EDI format (fields and qualifiers to not apply to this format) Continue reading
On April 1, 2014 President Obama signed into legislation the Protecting Access to Medicare Act of 2014 (H.R.4302) which includes a one year delay in the implementation of ICD 10 codes. The new date for implementation is 10/1/2015. To read more please click here.
The implementation of ICD-10 has been delayed again but ChiroPulse365 is now fully ICD-10 compliant (since March 2014) and as the “you must use ICD-10, not ICD-9 codes” date of 10/1/2015 approaches ChiroPulse will offer tools to conveniently move your ICD-9 Claims to ICD-10. The biggest obstacle your office faces is that you cannot intermix ICD-9 codes and ICD-10 codes in one claim. The second obstacle is knowing which ICD-10 to use or which Medicare will approve. As the ICD-10 rollout date approaches we’ll make your life easier. Continue reading