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M.S. Hall & Associates Attends DSRIP Annual Learning Symposium

Scott Emery (Interim Director of Operations/COO of Care Compass Network) and Mike Tropea (Project/Research Analyst) recently gathered with healthcare representatives from across NYS at the Annual DSRIP Learning Symposium. In keeping with DSRIP’s stated goal of restructuring the health care delivery system, these conferences will focus on system transformation, clinical management and population health. Each symposium will offer opportunities for peer to peer information sharing, provide guidance from subject matter experts, and highlight best practices across program participants. As expected, the symposium challenged, inspired, and furthered the collaborative work happening here in NYS.

Scott Rau and Jason Allen Join M.S. Hall & Associates, LLC

M.S. Hall & Associates, LLC is excited and pleased to announce that Scott Rau and Jason Allen have joined our firm as Healthcare Managers!  With the addition of Scott and Jason, M.S. Hall & Associates, LLC will greatly expand our knowledge base and our ability to service our existing clients, while strengthening our efforts to expand our client base.  Scott will work out of our Syracuse office.  Jason will work out of the Albany area.  Please join us in welcoming Scott and Jason. Jason brings over 9 years of healthcare reimbursement experience to M.S. Hall & Associates, LLC.  Jason’s previous…

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Medicare EPs Hardship Deadline 7/1/15

Action Needed by July 1 Medicare eligible professionals can avoid the 2016 payment adjustment by taking action by July 1 and applying for a 2016 hardship exception. The hardship exception applications and instructions for an individual and for multiple Medicare eligible professionals are available on the EHR Incentive Programs website. To file a hardship exception, you must: Show proof of a circumstance beyond your control. Explicitly outline how the circumstance significantly impaired your ability to meet meaningful use. Supporting documentation must also be provided for certain hardship exception categories. CMS will review applications to determine whether or not a hardship exception should be granted. You do not need to submit a…

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Medicare’s Shift Towards Value Based Payments Begins in 2016

This past January, HHS Secretary Sylvia Burwell announced plans to shift Medicare reimbursement payments to quality or value based payments. HHS has set a goal of: 30% of Medicare fee-for-service payments in Alternative Payment Models (APM) by 2016 and 50% by 2018 85% of Medicare fee-for-service payments linked to quality or value by 2016 and 90% by 2018 In order to lead this beyond Medicare and into the realm of other payers, employers, states, consumers, providers, et al, HHS has created the Health Care Payment Learning and Action Network. The Network will: Serve as a convening body to facilitate joint implementation of new…

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Medicare Eligible Hospitals: How to Avoid EHR 2016 Payment Adjustment

Take Action by April 1 Payment adjustments for eligible hospitals that did not successfully participate in the Medicare EHR Incentive Program in 2014 will begin on October 1, 2015. Medicare eligible hospitals can avoid the 2016 payment adjustment by taking action by April 1 and applying for a 2016 hardship exception. To file a hardship exception, Medicare eligible hospitals must: Show proof of a circumstance beyond the hospital’s control. Explicitly outline how the circumstance significantly impaired the hospital’s ability to meet meaningful use. Supporting documentation must also be provided. CMS will review applications to determine whether or not a hardship exception should be granted. Apply…

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Special Announcement: M.S. Hall & Associates Teams Up with STRIPPS for NYS DSRIP

  We are pleased to announce our participation in New York State’s Delivery System Reform Incentive Program (DSRIP) through our consultation work with Southern Tier Rural Integrated Performing Provider System (STRIPPS). Two of our associates have been working directly with STRIPPS: Mike Sorber (above left) has taken on the role of Interim Finance Manager. Among other tasks, his work has focused on creating budgets, implementation planning, creating flow of funds and developing other financial policies and plans with an eye towards sustainability. Scott Emery (above right) has been tasked with project management and oversight for particular projects within STRIPPS. Primarily, his expertise has…

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EHR Attestation for 2014: Urgent Medicare & Medicaid Deadlines

Whether you are attesting as an Eligible Professional or an Eligible Hospital, both Medicare and Medicaid EHR Incentive Programs have deadlines just around the corner for your 2014 attestation. Please see below. With deadlines looming, it may be important to ask the following questions: Why is participation beneficial to your entire community? What if your EPs or hospital are not certain about your data? How do you best prepare for an EHR Incentive Program audit? Our diverse team is here to help as you navigate your way towards these payment incentives. What questions do you have? Eligible Professional: February 28, 2015 Eligible Hospitals:…

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Do you know when to submit your PQRS data? A payment incentive or negative adjustment awaits in 2016

CMS has released the timeframes for submitting your Physician Quality Reporting System data. The open window began in January and will end, depending upon the reporting method, either in February or March.  Below you will find the details regarding method, period, and time windows for each PQRS participant. Not too familiar with PQRS and whether or not you will receive either the 0.5% payment incentive or the 2.0% negative payment adjustment? Click on the following link to come up to speed on the ins and outs of PQRS: Physicians Quality Reporting System: What You Need to Know for 2014.

Cuomo Passes Telehealth Reimbursement Bill

Late last week, Gov. Cuomo signed into law a new telehealth bill promising improvements to overall telehealth access in New York state. Highlights of this new law include: Telemedicine services are now required to covered by private insurers Medicaid will reimburse telehealth service costs Reimbursement through Medicaid is a key provision of this law as it now establishes a payment structure for providers who were once reluctant to adopt and implement telehealth services. Legislators expect to see rural and underserved communities drastically improve in their healthcare services now that compensation is guaranteed. The law went into place January 1, 2015. For…

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Tentative MRT Waiver/DSRIP Key Dates Year 0

As of yesterday, Monday, November 10, 2014, the DSRIP Timeline for Year 0 has been updated. The most pertinent change to be noted is the DSRIP Project Plan application has been moved from December 16 to December 22. Click the following link to download the updated Timeline with the needed details: Download Updated DSRIP Timeline Year 0.pdf    

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