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| COMPLIANCE CALENDAR |
HCMS has developed a Compliance Calendar to help you and your staff keep track of all the various government agency deadlines and key health policy issues that impact Harris County physicians.
Click on link above to view important deadlines and dates for PQRS, EHR Meaningful Use Program, ICD-10, e-prescribing (eRx), etc.
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| QUALITY IMPROVEMENT PROGRAMS |
| Click on link above to learn more about PQRS, BTE and other developing pay for performance (P4P) models that reward physicians, hospital groups, and other healthcare providers for meeting certain performance measures for quality efficiency |
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| PHYSICIAN RANKING |
| Click on link above to learn more about physician ranking by health insurers. Health insurers cannot rank physicians solely on cost, but must take into account quality of care when they rate physicians' performances under rules the Texas Department of Insurance (TDI) adopted in May 2010 |
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| PATIENT EXPERIENCE |
| Click on link above for topics, tools, and links on information regarding cultural competency, disparities, health literacy, and more |
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| QUALITY FAQ |
| Click on link above to learn about some of the basics of Health Care Quality |
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| BRIDGES TO EXCELLENCE (BTE) |
| Click on link above for instructions on how to become BTE recognized |
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| NEWS AND UPDATES |
Incentive Calculator
HCMS has created a new tool to help you evaluate penalties and incentive scenarios for the various incentive programs including PQRS, E-prescribing, and EHR Meaningful Use.
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Preventive Services Calculators
TMA has built a suite of interactive calculators that will help physicians recognize preventive services that they are already performing, but may not be billing for. The calculators are grouped according to the type of preventative services. They show the Medicare amount each code can be billed for and the documentation requirements needed. . These calculators will also let you populate the amount paid by other payers.
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Physician Compare Web site
A website created by the Centers for Medicare and Medicaid Services (CMS) to serve as a tool for Medicare patients to access and compare physician quality meausres publically reported by CMS starting in 2013. Click on link above for more information.
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AMA Guidelines for Reporting Physician Data
New guidelines created by the AMA and endorsed by more than 60 organizations that aspires to:
- Encourage health plans and other reporting bodies to standardize the format used for physician data reporting.
- Provide physicians with patient-level data to enhance the utility of data reports.
- Increase and enchance physician understanding on how to use data reported.
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Physician Quality Reporting System Errors: Measure #235 and Reporting of NOC Codes
CMS has recently identified an error related to the submission of Measure #235 – Hypertension: Plan of Care for the 2012 Physician Quality Reporting System. Measure #235 is a claims/registry measure with “G” codes that are inactive due to an error found on the HCPCS tape. This has resulted in claims containing the “G” codes associated with the measure being rejected or denied by the carriers/Medicare Administrative Contractors (MACs).
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Improvements made to the Physician Compare Web Site
The Physician Compare Web site now provides a direct link to the Internet-based Medicare Provider Enrollment, Chain, and Ownership System (PECOS) where you can make appropriate changes to your enrollment information.
For more information on the PECOS enrollment list
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