As an industry, healthcare can definitely learn a thing or two from the finance and retail sectors as far as keeping costs low while providing the highest quality services. When it comes to electronic health records in particular, there is yet another industry that vendors can learn from, and that’s the gaming industry.

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On January 11th at the J.P. Morgan Healthcare Conference in San Francisco, Andy Slavitt, acting CMS Administrator, dropped a bombshell by announcing that “The meaningful use program as it has existed will now be effectively over and replaced with something better.”


There is a new Final Rule scheduled to be published in the Federal Register on October 16, 2015. There are changes to the requirements of the EHR Incentive Program which are aimed to ease the burden on providers. According to an announcement by CMS, some of the "major provisions in the EHR Incentive Programs for 2015 include: A revised single set of objectives and measures, including a reduction in the overall number of objectives to which a provider must attest. Alternate exclusions and specifications for providers previously scheduled to be in Stage 1 of meaningful use.

Treatment Plan Alert -- Attention Needed


Denials and refund demands due to the failure to have a treatment plan (Care Plan) documented in the chart.

Subjective History

Over the years, Medicare and others have paid claims based on the information that was only on the claim form. Supporting clinical necessity details from the charts were rarely used.

EHR Meaningful User - To Be, or Not To Be

By Dr. Jeff Brown -Meaningful Use Mentor

Technological advancement enhances the success of any industry, and healthcare is no exception. It is easy to recognize technology’s role in the medical world—magnetic resonance imaging and arthroscopic surgery (necessary or not) are two great examples. It’s also easy to understand the reason for such improvement...would you like to have a 1950s knee surgery based on a 1950s x-ray in 2012?

Record Cloning and "Spinners" Attract CMS Gaze"

The Centers for Medicare and Medicaid (CMS) requires that all treatments it pays for be medically necessary. CMS normally reimburses fairly quickly, then audits submitted claims to detect cases where treatment should not have been authorized. Doctors demonstrate the medical necessity of their claims by submitting, when requested, the documentation on cases that the auditors have flagged. If submitted documentation justifies the treatments paid for, the claim will be upheld. If not, then the government asks for its money back, and fines may be imposed.

EHR Hardship Exemption

The following information is from the Centers for Medicare & Medicaid Services (CMS) regarding the Electronic Health Records (EHR) payment reduction hardship exemption:

    Hardship Exceptions for Medicare EPs

The MLN Connects Provider eNews for February 5, 2015 included the following notice:

CMS Intends to Engage in Rule making for EHR Incentive Program Changes for 2015

If you are an eligible professional participating in the Medicare EHR Incentive Program, you have until February 28, 2015 to attest to demonstrating meaningful use of the data collected during your EHR reporting period for the 2014 calendar year.


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