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Prime Time News

January/February 2014  ~ Volume 7, Issue 1

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In This Issue

ICD-10 is on Intellect!

PCS Administrative Notes

Support Ends for Windows XP

Client Email Notices

Website Additions

Workshops/Training Forums

Saturday Mobile Clinic for Providers

Daily Forum Change

Updated Training Class Schedule

PCM News

Recent PCM Additions/Updates

Meaningful Use

EHR: Medicare Incentive Program Webinar

2013 Attestation

PCS/PCM Will Be Registered

2014 Clinical Quality Measures

Stage 1 Meaningful Use in 2014

Calculate Your Incentive Payments

Quick Resources for MU/PQRI Compliance

Intellect News

What Software Version Are You On?

Unix News

ICD-10 is Only 252 Days Away!

New HCFA 1500 Changes Affect Unix Clients

ICD-10

How to Assess the Costs of Dual Coding

Concurrent or Retrospective?

GEMs FAQs

Industry News

Communicating in the Exam Room

What Stage 2 MU Extension Means

Avoiding EHR Payment Changes in 2015

Pres. Obama Signs Pathway for SCR Reform Act 2013

 

 

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PCS Unveils ICD-10 on Intellect!      


ICD-10 is on Intellect!

 

As we move closer to the mandated 10/01/2014 date for ICD-10, we recommend that you and your staff work with an accredited organization for ICD-10 Coding and Training.

 

To assist you and your staff in the implementation of your ICD-10 codes on Intellect, PCS has created resources which are available on our website.

 

After logging-in to www.primeclinical.com, click on [OnSTAFF/Intellect Info] and select 'ICD-10' to access general ICD-10 info. An implementation timeline, ICD-10 Prime Clinical Q&A, ICD-10 Medicare Video Tutorials, and three phases of ICD-10 Intellect Video Tutorials are available:

 

 For clients who want to load their own ICD-10 codes, please watch phase 1, 2, and 3.  

 For clients who will use the ICD-10 codes that Prime Clinical loads, you may begin the video tutorials from phase 2 (Activating ICD10 Codes), and finish with phase 3.    

 

Additionally, after logging-in to www.primeclinical.com, click on the blue box titled 'Newsletters and Alerts',  and select 'ICD-10' for CMS news updates and general information.

 

After we received information from CMS and MAC payers that the ICD-10 codes were available for download, PCS made the decision to include the ICD-10 codes in the next Intellect update.

Following the release, additional information will be available in our release notes and in our online documentation.  

 

 

PCS Administrative Notes

 

Support Ends for Windows XP 

 

On April 8, 2014, Microsoft will discontinue support and security updates on Windows XP, making the Operating System vulnerable and non-compliant with HIPAA.Windows XP logo

Section 164.308(a)(5)(ii)(B) of the HIPAA Security Rules states that you must have "procedures for guarding against, detecting, and reporting malicious software".

 

Section 164.306(b) also states "A covered entity must determine which security measures and specific technologies are reasonable and appropriate for implementation in its organization."

 

Prime Clinical Systems continues to be your partner in complying with HIPAA/Meaningful Use requirements and based upon these two sections, it is our opinion that it is not reasonable and appropriate to continue to use the 13-year-old operating system in which the manufacturer has decided to stop implementing security upgrades and patches. It is our recommendation to upgrade to Windows 7 Pro or Windows 8 Pro.

 

 

 

Client E-mail Notices

 

Periodically we send e-mails to our clients with relevant information. It is to your advantage to read these e-mails and incorporate the information as necessary. To view the e-mails sent since the last newsletter, click here. 

  

 

 

Website Additions

 

Since our last newsletter, the following documents were published on our News website:   

 

ICD-10 Q&A 

Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims   

OptumInsight Notification: United Healthcare - Enhanced HIPAA Edits  

Ordering and Referring Denial Edits Implemented 01/06/2014  

Unprepared Practices Face Reimbursement Disruptions  

 

The News website may be accessed by logging-in to our website, and clicking on the [Newsletters & Email Notices] button. Or, through Intellect, click on Help and then on News. Once on the News website, click on [Search], enter the document title, and click [Go].

 

 

Workshops/Training Forums    

 

Saturday Mobile Clinics for ProvidersSaturday Mobile Clinic Truck

 

Our first mobile training clinic in Monterey, CA was a huge success! The providers were all very pleased and spent a lot of one-on-one time with our trainers.
 
Look for an event coming in your neighborhood:

 

Friday 02/21/2014

Torrance, CA - Torrance Marriott South Bay

registration open

Saturday 02/22/2014

Torrance, CA - Torrance Marriott South Bay

registration open

 

Saturday 03/08/2014

Modesto, CA

registration open

 

Saturday

03/29/2014

Ontario, CA

location to be decided

 

Saturday

04/05/2014

San Jose, CA

location to be decided

 

Friday

04/11/2014

Glendale, CA

location to be decided

 

Saturday

04/12/2014

Glendale, CA

location to be decided

 

Saturday

04/26/2014

Bakersfield, CA

location to be decided

 

Saturday

05/03/2014

Walnut Creek, CA

location to be decided

 

Saturday

05/17/2014

Orange County

location to be decided

 

 

 

 

 

 

 

 

 

 

  

  

  

  

  

 

 

 

 

 

 

 

 

 

 

  

  

  

 

 

 

 

 

 

 

 

 

 

 

 

 

For questions or additional information, please call Sandy Thompson at 925-922-7670, or contact Marty Beteta at 877-444-1156, or via e-mail marty@primeclinical.com.

 

 

 

Daily Forum Change

 

As of 2014, our Daily Training Forum offers support:  

   

  • Tuesday for PCM only 1:00 p.m. - 2:00 p.m. PST

  • Thursday for Intellect only 1:00 p.m. - 2:00 p.m. PST 

 

The Daily Forum provides quick answers to training issues. Our daily forum:  

   

  • is available for 2 hours per week

  • is conducted with a "live trainer"

  • provides answers quickly so you can proceed with the rest of your day

  • allows you to come and go as needed, depending on the number of questions you may have

 

Register only one time and use the same access code to get help as needed. Click here to register, or email Train@primeclinical.com. Please include your Client ID, name and contact information.

 

 

 

Updated Training Class Schedule

 

As of 2014, we have a new PCM training class schedule! Check out both the Intellect and PCM schedules, and register for classes now!  

 

 

PCM News 

 

Recent PCM Additions & Updates   

   

As of PCM versions 5.5.1151 to 5.5.1173, changes have been made in the following areas:  

   

  • Prescription Writer Changes  

  • Dicom Images  

  • Chart Documents  

  • Filing  

  • E-Mail

  • Meaningful Use

  • Immunization Log

  • Midmark

  • Custom Superbill List

  • Charge Posting

  • Patient Portal

 

To ensure that you have access to all of the changes, make sure that you have the latest PCM and TS Client Version.  

 

For an overview of each addition/update, click here.

 

 

Meaningful Use  

 

EHR: Medicare Incentive Program Attestation Webinar
for Eligible Professionals

 

CMS' online 22:23-minute video provides a visual step-by-step guide for eligible professionals to use to prepare for attestation. The video also answers common questions about attestation for the Medicare program. Medicaid attestation takes place at the state level.  

 

 

 

2013 Attestation  

 

In regard to the Medicare Incentive Program, providers have until February 28, 2014 at 12pm EST to attest for the 2013 Attestation period.

For California, providers have until March 31, 2014.   

 

Other providers outside of California, please check your state guidelines.

 

More information is also available at www.CMS.GOV

 

 

 

PCS/PCM Will Be Registered for
MU Stage 2 by June 2014


How does that affect you? You will have until the last quarter of 2014 to be able to report for the 3-month EHR reporting period.

 

 

 

2014 Clinical Quality Measures

 

For 2014 only, all providers regardless of their stage of meaningful use are only required to demonstrate meaningful use for a three-month EHR reporting period. Medicare providers can either report their CQMs for the entire year or select an optional three-month reporting period for CQMs that is identical to their three-month reporting period for meaningful use.

 

For Medicare providers, this 3-month reporting period is fixed to the quarter of either the fiscal or calendar (for EPs) year in order to align with existing CMS quality measurement programs, such as the Physician Quality Reporting System (PQRS). CMS is permitting this one-time three-month reporting period in 2014 only so that all providers who must upgrade to 2014 Certified EHR Technology will have adequate time to implement their new Certified EHR systems.

 

Supporting Documentation:  2014 Clinical Quality Measure Tipsheet 

 

 

 

Stage 1 Meaningful Use in 2014

 

Eligible Providers must begin their 90 day attestation period NO LATER than July 1, 2014 and attest NO LATER than October 1, 2014 to avoid the 2015 Payment Adjustment.  This requirement is only for EPs who are demonstrating Meaningful Use for the first time in 2014.

 

For additional information:  Payment Adjustment Tipsheet for Eligible Providers  

 

 

 

Calculate Your Incentive Payments


Use CMS' EHR participation timeline posted on our website to determine and calculate your incentive payments for both Medicare and Medicaid .


The timeline also assists in determining if you will be attesting for Stage 1 or Stage 2 Meaningful Use in 2014.

EHR Participation TimelineAccess the timeline
button by going to www.primeclinical.com, logging-in with your
Client ID and password, selecting [Meaningful Use Tools], then [Learning Tools], then [Medicare & Medicaid Information], and then 'Getting Started'. Scroll down to the timeline button located mid-page, and click where indicated. 

 

 

 

Quick Resources for MU and/or PQRI Compliance
and Deadlines

 

Prime Clinical constantly updates our website www.primeclinical.com with current meaningful use information for our clients. Additionally, we frequently update the material in our Meaningful Use classes, and make our training materials available to our clients on our website.

 

To access meaningful use information, go to www.primeclinical.com, log-in with your Client ID and password, select [Meaningful Use Tools], and then [Learning Tools]. Available options, including our MU class, will display.

Read more>> 

 

 

Intellect News

 

What Software Version Are You Using?

 

Since our last newsletter, Intellect software Version 13.12.12 was released in December 2013.


This release includes four modifications in:  

   

  • Registration/Regular/Patient

  • Registration/Regular/Patient Insurance

  • Registration/Worker/Worker

  • Utility/Maintenance/Import Data  

 

It also includes eight new Intellect features in the following areas:

 

  • Charges/Charge

  • Charges/Encounter

  • Billing/Insurance/Batch-Group of Patients

  • Billing/Tele Com

  • Billing - HCFA

  • Utility/Set Up/Appointment/Appointment Type

  • Utility/Insurance/Pay Plan

  • Utility/Maintenance/Import Data

  • Utility/Maintenance/General Import

 

For an overview of the changes, see our Press Release or, for details, see the complete Release Notes and online documentation.   

 

Note: Another update is in the works, with a tentative release this month. 

 

 

Unix News   


ICD-10 is Only 252 Days Away!

 
ICD-10 is mandated for October 1, 2014. If your office is not yet upgraded to Intellect by that date, all your electronic transactions will be rejected.

For upgrade information, please contact Marty either by email marty@primeclinical.com or via phone

626-449-1705, ext. 222.

 

 

 

New HCFA 1500
Changes Affect Unix Clients


A new Health Insurance Claim Form (HCFA) has been released, which will be mandated on 04/01/2014.

 

Some of the changes to be aware of include:  

   

  • Use commas to separate the last name, first name, and middle initial. A hyphen can be used for hyphenated names. Do not use periods within the name.

  • 8-digit dates must be used in all date-of-birth fields (items 3, 9b, and 11a).

  • Leave Box 8 blank.

 

Note: The new HCFA 1500 changes will not be available on the OnStaff Unix systems. Clients on Unix will need to upgrade to the Windows version of OnStaff. 

 

See additional information for individual boxes on the form.

 

 

ICD-10    

 

How to Assess
the Costs of Dual Coding 

 

Dual coding can be used to find unforeseen problems, but it also requires an investment of time and money before it can start.

 

To begin with, healthcare providers need to have an already-purchased Health IT system that supports ICD-10 codes. And then, to avoid getting bogged down with basic mistakes, medical coders need to be trained in ICD-10 coding, and clinicians need to be trained on documenting the correct level of specificity to support ICD-10 coding.  

 

Read complete article>> 

 

 

 

Concurrent or Retrospective?

Which Approach to Dual Coding is Best for You? 

 

Dual coding impacts existing processes, technologies and resources. The magnitude of the impact depends on the strategy and approach adopted.  

 

With the concurrent approach to dual coding, coders review and code current, pre-billed records in both ICD-9-CM and ICD-10-CM/PCS. They code all diagnoses and procedures in ICD-9 and then compute the MS-DRG for each. This process then is repeated in ICD-10.

 

The retrospective approach provides for the review of post-billed records coded in ICD-9 and then recoded using ICD-10. Organizations typically identify the cases most commonly seen in their facilities, such as the top 20 most common MS-DRGs, top MS-DRGs by volume, top revenue-producing MS-DRGs, top principal diagnoses and/or procedures, or MS-DRGs as a percentage of total discharges.

.

Read complete article>> 

 

 

 

General Equivalence Mappings (GEMs) 

Frequently Asked Questions

 

In April 2013, CMS published a booklet of background information and frequently asked questions regarding General Equivalence Mappings (GEMs).

A few of the questions answered include:

 

  • What are the GEMs?

  • Why do we need the GEMs?

  • Who can use the GEMs?

  • Are the GEMs a substitute for learning to use ICD-10-CM and ICD-10-PCS?

  • Are there instances when it is not necessary to use the GEMs?

 

The booklet also includes multiple resources and links to implementation timelines, statutes and regulations, MLN products, and Medicare information.

 

 

Industry News 


Communicating in the Exam Room 

with an EHR   

 

The attached chart provides practical applications for five areas of communication to effectively integrate the computer into the exam room, including recommended actions to use and scripts to say while interacting with patients. By including a few new communication behaviors into everyday practice, a computer in the exam room will enhance the overall care experience for the patient.

 

View chart

 

 


What the Stage 2 Meaningful Use Extension Means
to Physicians
 

 

The extension of the Stage 2 deadline for meeting CMS' meaningful-use requirements means physicians have a little more time before they have to worry about Stage 3. What it doesn't mean is that they should slow down their plans for attesting for Stage 2. "If you're struggling to meet Stage 2, this doesn't in any way solve that immediate problem," Jason Fortin, a senior advisor with Impact Advisors, told Physicians Practice. "Stage 2 is still on for 2014, it's just been extended from two years to three years."

Read the complete article>>

 

 

 

Avoiding EHR Payment Changes  

in 2015


The lefts for Medicare and Medicaid Services (CMS) has issued a reminder to professionals participating in the Medicare EHR Incentive Program to review their meaningful use practices to avoid payment adjustments in 2015. 

Click here for the complete statement.

 

 


President Obama Signs the Pathway for SGR Reform Act of 2013 - New Law Includes Physician Update Fix through March 2014


On December 26, 2013, President Obama signed into law the Pathway for SGR Reform Act of 2013. This new law prevents a scheduled payment reduction for physicians and other practitioners who treat Medicare patients from taking effect on January 1, 2014. The new law provides for a 0.5 percent update for such services through March 31, 2014. President Obama remains committed to a permanent solution to eliminating the Sustainable Growth Rate (SGR) reductions that result from the existing statutory methodology. The Administration will continue to work with Congress to achieve this goal.

Read the complete update>>

 

 

 

Prime Time Funnies  

 

Two year old magazine cartoon

Saturday Evening Post    

 

 

Company Information 

 

Since we began in 1983, Prime Clinical Systems has never looked back as a company. Thriving with the most energetic and knowledgeable employees, Prime Clinical continues to help practices achieve their goals of eliminating their paper charts and accomplishing quality and accuracy in patient care. We take great pride in the excellence that we stand for as a company and celebrate our achievements every day.

   

InfoGard Complete EHR logo'Complete EHR'

Certification:

Prime Clinical has kept our commitment to our clients by using the latest technology and being among the best in the industry. We are pleased to announce that our integrated Ambulatory Electronic Health Records (EHR) system, Patient Chart Manager V.5.5 has been awarded an ONC-ATCB "Complete EHR Certification" by infoGARD, December 2010. Our certification number is: IG-2402-10-0011. This Ambulatory Complete EHR is 2011/2012 compliant and has been certified by an ONC-ATCB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services (HHS) or guarantee the receipt of incentive payments.     

 

Prime Clinical Systems, Inc.

3675 E. Huntington Drive, Suite A

Pasadena, CA 91107

(626) 449-1705

 www.primeclinical.com

 

 

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