What to Plan for in Q4Wednesday, October 1, 2014

Disclaimer: Nothing that we are sharing is intended as legally binding or prescriptive advice. This presentation is a

synthesis of publically available information and best practices.

Q4 : October –December, 2014

44

22

33

11

The

Good

News

• Adoption of ICD-10 has been delayed.

• Final rule allows for delay in implementing MU1 2014 or MU2 (if you can attest to vendor delays).

Priorities

for

Q4

Meaningful Use

Value-Based Payment Modifiers

Transparency

Open Enrollment for ACA

Determine your strategy based on the final

rule.

Create an audit binder.

Prepare a statement citing why you should

be able to opt out of any part of MU.

Meaningful Use

Value-Based Payment Modifier

When reporting any clinical data to

CMS, make sure thresholds demonstrate

you are providing high quality care.

If you have any vendor problems with

data accuracy, fix them.

Transparency

Market your own practice and post your own prices.

Make sure to report good quality data.

Find out what providers in your area are charging and

how you compare. (MGMA & OPTUM are good sources.)

See how your reimbursement ranks vs. your competitors

on the Medicare website and ensure data accuracy.

Open Enrollment for ACA

Open Enrollment begins November 15.

Check and confirm patients’ eligibility, what plan they

are on, and their deductible before their scheduled

appointment. Keep this information in the practice

management system..

Notify patients about their deductible before they

come to the clinic; keep a card on file, or collect up

front.

Q&ABen.quirk@quirkhealthcare.com