Tag Archives: Penalties

The Sequestration’s Mandatory Medicare Payment Reduction is Here

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Cutting Money
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Due to (insert your favorite villain here)’s failure to act, the sequester is now in effect. Medicare FFS payments for dates-of-service or dates-of-discharge on or after April 1st will now incur a 2 percent reduction in Medicare payments and reimbursements. Claims payment adjustments will be applied to all claims AFTER deducting amounts for coinsurance, deductibles, and any Medicare Secondary Payment Continue reading The Sequestration’s Mandatory Medicare Payment Reduction is Here→

Physician Quality Reporting System or PQRS

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  Physician Quality Reporting System (PQRS) formerly known as the Physician Quality Reporting Initiative   The Physician Quality Reporting System or PQRS is a “voluntary” reporting program mandated by Federal legislation that uses a combination of incentive payments and payment adjustments to promote reporting of quality measures information by eligible professionals. The program provides an incentive payment to eligible professionals and Continue reading Physician Quality Reporting System or PQRS→

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Stage 1 Meaningful Use Audits and Security Risk Analysis

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There is an awful lot of news lately about Stage 1 Meaningful Use audits and the number one reason so far for failing an audit has been Core Set Objective number 15. Protect Electronic Health Information Objective Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. Measure Conduct or review Continue reading Stage 1 Meaningful Use Audits and Security Risk Analysis→

CMS/RAC Begin Audits of Medicare Physicians’ Use of CPT Codes

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The Audits are coming and they could cost you BIG! CMS, the Centers for Medicare and Medicaid Services, has just approved audits of Physician’s offices in Medicare Region C. Connolly Inc., the Medicare Region C Recovery Auditor, will begin auditing Medicare Physicians in 15 states as well as Puerto Rico and the U.S. Virgin Islands through “complex review”, which entails human Continue reading CMS/RAC Begin Audits of Medicare Physicians’ Use of CPT Codes→