ACMSS Helps with Implementation of MACRA’s Quality Payment Program

ACMSS Helps with Implementation of MACRA’s Quality Payment Program

ACMSS Helps with Implementation of MACRA’s Quality Payment ProgramACMSS Helps with Implementation of MACRA’s Quality Payment ProgramACMSS Helps with Implementation of MACRA’s Quality Payment ProgramFOR IMMEDIATE RELEASE

ACMSS Helps with Implementation of MACRA’s Quality Payment Program

CONTACT: Kristin Hagen, CMSS, CPHIMS
President/CEO, American College of Medical Scribe Specialists
(657) 888-2158

ORANGE, Calif., November 23, 2016. On October 14, the Department of Health & Human Services (HHS) released the final version of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP), which is intended to streamline the Medicare system and reward physicians for quality patient care. It is assumed that MACRA will eventually also be accepted as a performance and payment-for-performance guideline for some others payers as well. This article explains some of the main points of the QPP.

“The American College of Medical Scribe Specialists (ACMSS) supports the move toward new payment schemes that we believe can help lead a revolution toward higher-quality and value-based care, and away from our former fee-for-service model, which incentivized higher volume of care and often resulted in increased low-quality and unnecessary care,” says ACMSS Executive Director Kristin Hagen. “Since the final QPP was released, we at ACMSS have been studying the nearly 2,400-page document, and we are helping eligible clinicians get ready for full implementation at the beginning of the year.”

Getting You Ready to Report

The first performance period begins Jan. 1, 2017 and closes Dec. 31, 2017. To avoid penalties, eligible clinicians should plan to report some data in 2017. The program consists of four options, and it is possible to earn a small bonus for submitting complete data for 90 days or more, or a moderate bonus for submitting complete data for all of 2017.

During 2017, eligible clinicians who choose to participate in the QPP should record quality data and how they used technology to support their practice. To potentially earn a positive payment adjustment beginning on Jan. 1, 2019 under the Merit-based Incentive Program (MIPS), they must send in data to MIPS about the care they provided and how their practices used technology in 2017 by the deadline of March 31, 2018. Those who are using an Advanced Alternative Payment Model (APM) will report through that model by the same date and may earn a 5% incentive payment in 2019.

Eligible clinicians who don’t send in any 2017 data will receive a negative 4% payment adjustment. Those who submit a minimum amount of 2017 data to Medicare can avoid a negative payment adjustment. Those who submit at least 90 days of 2017 data to Medicare may earn a neutral or small positive payment adjustment.  If eligible clinicians send a full year of 2017 data to Medicare, they may earn a moderate positive payment adjustment. To be able to earn the 5% incentive payment for participating in an Advanced APM, eligible clinicians send quality data through the Advanced APM.  If you participate in an Advanced APM in 2017, then you may earn a 5% incentive payment in 2019.

Reporting for MIPS

In 2017, eligible clinicians must report in the following three categories:

·       Quality (60%)

·       Advancing Care Information (25%)

·       Clinical Improvement Activities (15%)

The fourth category—Cost—is not assessed in 2017

“Improving the use of healthcare technology and streamlining practices while meeting regulatory requirements is an ongoing proposition,” says Hagen. “ACMSS offers a full suite of custom consulting services, medical scribe certification programs and corporate partnerships to help practices drive innovation on the people side of improvement in healthcare quality and patient safety.”

Consulting services that ACMSS provides, and the associated categories they can help practices with, include:

·       Custom Consulting (All Categories)

·       Standards Development (Quality, Advancing Care Information, Clinical Improvement Activities)

·       Workflow Development (All Categories)

·       Meeting CMS Meaningful Use (MU)/MACRA: MIPS/APM (All Categories)

·       Innovating Practice: CMS MACRA: MIPS/APM (All Categories)

·       Research-driven initiatives: Aligning clinical documentation to sustainable wellness and outcomes (Quality, Advancing Care Information, Clinical Improvement Activities)

·       Research-driven initiatives: Creating wellness and outcomes through the art and science of clinical documentation (Quality, Advancing Care Information, Clinical Improvement Activities)

·       Implementing full scope of “real-time, onsite” credentialed Certified Medical Scribe Specialists (CMSS) personnel to meet national goals (Advancing Care Information)

·       Understanding innovative Systems Design; putting the CMSS/CMSA credentials to work (All Categories)

·       Preparing, planning, and strategizing for the future (All Categories)

·       Requirements of CMS certified personnel; why we do what we do, why it matters (Advancing Care Information)

·       Requirements of CMS “CMSS” Certified Medical Scribe Specialists (Advancing Care Information)

·       Value of the doctor/certified scribe/patient model (All Categories)

·       Creating resourceful value in healthcare (All Categories)

·       Precision Medicine: Integrative/Functional Medicine: A Different Kind of Care

·       Healthcare as Unique as the Individual: Understanding the difference between our evolutionary public healthcare system through MACRA: MIPS/APM, and, Customized Precision Medicine: Integrative Medicine/Functional Medicine (All Categories)

·       Creating our 21st-century patient-centric healthcare systems (All Categories)

The ACMSS certification program meets current and proposed CMS certification requirements toward use of electronic health records. ACMSS is independent from all scribe companies and organizations and works in compliance with the Centers for Medicare and Medicaid Services to meet national goals and initiatives of MIPS, MACRA, and Meaningful Use of computerized provider order entry.  Certified medical scribes also meet the “qualified people” standard in Certified Electronic Health Record Technology (CEHRT).

“ACMSS is closely watching the progress of MACRA and we are excited for our future,”  said Hagen. “ACMSS understands MACRA given the expertise and understanding coming through the two systems (public health/precision medicine) in respect of the patient, client, and healthcare practitioner viewpoints.  ACMSS simplifies into secure systems design, the complete library of resources that is available through secure online access per paid membership.  We believe eligible providers should move beyond the minimums for avoiding payment reductions.  In doing so, they need to connect with ACMSS, plan strategically for how they are going to advance the regulations and national goals intended to provide better care and greater value for our nation’s patients.”

The American College of Medical Scribe Specialists offers several pathways for Certified Medical Scribe Specialists and a growing list of customized, one-on-one consulting solutions. Please contact ACMSS directly at info@theacmss.org or 657-888-2158 if you have any questions regarding the ACMSS program and consulting services.

For more details on the Quality Payment Program, click here (https://qpp.cms.gov).

Back by Popular Demand, Limited-Time Sales! 40% OFF! Volume Medical Scribe Specialist Certification Packages

VOLUME PURCHASE CERTIFICATION SALES – 40% OFF!

Back by Popular Demand! 40% OFF! Volume Certification Specialist Bundles. Any Physician, Practice, or Administrator will receive volume discounts on 2+ minimum Certification & Membership Packages.

To purchase: select Copper x2 to Platinum. Those interested in Platinum+ Unlimited may contact ACMSS for pricing considerations.

Certification Packages: https://theacmss.org/store/acmss-volume-packages/

Learn More:
TheACMSS.org
(657) 888-2158

Readying for MACRA with ACMSS: Clinician Driven. Patient Centered through Physician/CMSS Teams.

Together Physician/CMSS teams focused on innovation, wellness, and sustainable care and outcomes for our nation and people!

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Welcome to National Health IT week!

 

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Welcome to National Health IT week!

ACMSS is proud to co-sponsor this partner-driven awareness week that focuses on bringing attention to the value, opportunities and challenges of healthcare information in the U.S. healthcare system. National Health IT Week (September 26 through 30), is sponsored by the Health Information and Management Systems Society (HIMSS) and they are joined by dozens of professional organizations, societies, and associations around the nation.

National Health IT Week helps drive awareness of the tools that are helping to build our patient-centric healthcare system. We particularly appreciate two areas of special focus for this year’s NHIT Week: innovation through precision medicine, and making communities healthy through interoperability across the spectrum of care to link public/population health and human services.”

ACMSS is dedicated to an evolving, innovative healthcare system that is focused on precision medicine, prevention, wellness and disease reversal. We provide the “people side” of the health IT equation to CEHRT, advancing the Certified Medical Scribe Specialist (CMSS) industry.  ACMSS provides minimum Standardized MSCAT “CMSS” Certification Packages, assisting healthcare in real time innovation and development. We are available to help the industry, clinical providers and academic institutions with the latest research, implementations, education, and consulting.  ACMSS is a proud non-profit partner with HIMSS.

To learn more about events and organizations associated with NHIT Week, go to http://www.healthitweek.org/
Please contact ACMSS directly at info@theacmss.org or 657-888-2158 if you have any questions regarding the ACMSS program and/or materials.  Vendors and Sponsors welcome.

Certified Medical Scribe Support Can Alleviate Physician EHR Burnout Concerns; Certify Today

Certified Medical Scribe Support Can Alleviate Physician EHR Burnout Concerns; Certify Today

Certified Medical Scribe Support Can Alleviate Physician EHR Burnout Concerns; Certify TodayFOR IMMEDIATE RELEASE

Certified Medical Scribe Support Can Alleviate Physician EHR Burnout Concerns; Certify Today

CONTACT: Kristin Hagen
President/CEO, American College of Medical Scribe Specialists
(657) 888-2158

ORANGE, CA., July 6, 2016. According to a new analysis by the Mayo Clinic and American Medical Association researchers of a nationwide survey of physicians, computerized provider order entry and electronic health record use are a major source of burnout for physicians. The study found that physicians who used EHRs and CPOE had greater rates of burnout than those who did not, an issue that Certified Medical Scribe Specialists (CMSS) have been shown to help alleviate.

“This study makes it clear that physicians are frustrated with the drop in productivity resulting from electronic health record use and the time takes away from true, face-to-face interactions with patients,” said ACMSS Executive Director Kristin Hagen. “The revolution in our healthcare system toward value-based, individualized medical care and treatment cannot happen if the EHRs meant to help facilitate these changes are a major source of physician dissatisfaction. Certified Medical Scribe Specialists assist practices and clinicians in real time, assisting innovative workflow and efficiencies, providing necessary tools and resources.”

A study published last fall in ClinicoEconomics and Outcomes Research found that physician productivity in a cardiology clinic was 10% higher for physicians using medical scribes. This improved productivity resulted in 84 additional new and 423 additional follow-up patients seen in one year. That study also found that the physicians using medical scribes finished most or all of their work during clinic hours and they did not have to spend additional time to complete documentation after their standard working hours.

“The clinical documentation and practice efficiencies certified scribes provide have been shown to ease the clerical burdens of CPOE and EHRs, and give physicians back the time and attention they need focus on their patients,” Hagen said. “Providers need to ensure that they use certified medical scribes, meeting CMS requirements, revolutionizing clinical care and creating sustainable outcomes together.”

ACMSS works in compliance with CMS to meet national goals and initiatives of Meaningful Use, Merit-Based Payment Incentive System (MIPS) and Medicare Access and CHIP Reauthorization Act (MACRA).  Certified medical scribes also meet the “qualified people” standard in Certified Electronic Health Record Technology (CEHRT).  If not the clinicians themselves entering the data, eligible personnel must be certified, meeting the CEHRT Meaningful Use (MU) Personnel standard.

The ACMSS certification program meets current and proposed CMS certification requirements toward use of EHRs through its Medical Scribe Certification & Aptitude Test (MSCAT). ACMSS provides specialty certifications in vascular medicine, dermatology, oncology, primary care, internal medicine, emergency medicine and general patient care, enabling access to all across the specialities. ACMSS enables same-day certification for practices to meet Meaningful Use attestations, presently at 2%, and offers ongoing webinars to assist prospective individuals with key information about ACMSS, regulations, and innovations to meet healthcare goals through Volume Certification Packages.

Building integrative systems design for prevention and disease reversal for patient care most heavily impact family practice, primary care, and urgent care, followed by all the specialities. MIPS and MACRA allow the current traditional healthcare system and providers to focus on their much-needed goals today in independent practices of working to assist patients in disease reversal and prevention toward wellness.

The American College of Medical Scribe Specialists offers five separate pathways for Certified Medical Scribe Specialists. Please contact ACMSS directly atsupport@theacmss.org or 657-888-2158 if you have any questions regarding the ACMSS program and/or materials.

About ACMSS

The American College of Medical Scribe Specialists is the nation’s only nonprofit professional society representing more than 17,000 Medical Scribes in over 1,700 medical institutions. ACMSS partners with academic institutions, non-profit partners, and medical scribe corporations to offer both education-to-certification and employment-to-certification pathways. ACMSS advances the needs of the medical scribe industry through certification, public advocacy, and continuing education. To learn more about ACMSS, please visit: theacmss.org

ACMSS
support@theacmss.org
(657) 888-2158

###

ACMSS Applauds Senate Bill for VA Medical Scribe Project; Scribe Certification

ACMSS Applauds Senate Bill for VA Medical Scribe Project; Scribe Certification

ACMSS Applauds Senate Bill for VA Medical Scribe Project; Urges Scribe CertificationFOR IMMEDIATE RELEASE

ACMSS Applauds Senate Bill for VA Medical Scribe Project; Urges Scribe Certification

CONTACT: Kristin Hagen
President/CEO, American College of Medical Scribe Specialists
(657) 888-2158

ORANGE, Calif., June 29, 2016. The American College of Medical Scribe Specialists (ACMSS) applauds the introduction of a bill in the U.S. Senate to create a pilot study in Veteran’s Administration hospitals to determine whether using Certified Medical Scribes to assist physicians will help shorten the VA’s notoriously long wait times and ease other patient service problems.

The purpose of Senate Bill 3035, introduced by Sen. Dean Heller (R-NV), is to “…require the Secretary of Veterans Affairs to carry out a pilot program to increase the use of medical scribes to maximize the efficiency of physicians at medical facilities of the Department of Veterans Affairs.” The proponents hope that the use of medical scribes in the program will reduce the amount of time physicians spend on daily documentation so that they may increase the number of patients physicians can see and the amount of time physicians are spending with each patient. Patient satisfaction and physician satisfaction and retention issues will also be measured.

“If this bill is approved and the program goes forward, employing Certified Medical Scribes to assist physicians at the VA will undoubtedly improve efficiencies and have the positive effect the bill proponents desire, and more,” said ACMSS Executive Director Kristin Hagen. “However, in approving the language, ACMSS urges the Senate to insist that only Certified Medical Scribe Specialists (CMSS) be used in the program. Medical scribes provide real-time documentation and increase practice efficiencies in a great number of areas outside of clinical documentation, but they must be certified.”

ACMSS is an independent certifying organization and works in compliance with the Centers for Medicare and Medicaid Services (CMS) to meet national goals and initiatives of Meaningful Use of electronic health records, Merit-Based Payment Incentive System (MIPS) and Medicare Access and CHIP Reauthorization Act (MACRA). Only Certified Medical Scribe Specialists meet current CMS requirements for Meaningful Use of electronic entry up to full scope of the credential, from basic EMR entry to a myriad of advanced clinical workflow improvement tasks, that include up to CPOE.  Certified medical scribes also meet the “qualified people” standard in Certified Electronic Health Record Technology (CEHRT) and assist with the design and infrastructure to support ongoing transformative care and change.

As a healthcare professional who suffered debilitating injuries from a first-generation airbag accident, and through 19 years of ongoing research to later work with her healthcare provider to create a wellness plan to bring her back to full recovery, Hagen knows the value of having a physician with the time available to provide meaningful, one-on-one care. Through two decades of trying to recover from her injuries in a healthcare system that was based on volume rather than value to patients, Hagen can relate to the frustrations being expressed recently by patients in the VA system.

“Employing appropriately credentialed and Certified Medical Scribe Specialists (CMSS), in regulatory compliance with CMS, is the best way that care providers can ensure they get back the time and attention they need to join the evolution of the outpatient healthcare industry into a patient-centered, integrative system that focuses on prevention, disease reversal and wellness,” Hagen said.

The ACMSS certification program meets current and proposed CMS certification requirements toward use of EHRs through its Medical Scribe Certification & Aptitude Test (MSCAT). In addition to the overall certification exam, ACMSS provides specialty certifications in vascular medicine, dermatology, oncology, primary care, internal medicine, emergency medicine and general patient care, enabling access to all across the specialities. ACMSS enables same-day certification for practices to meet Meaningful Use attestations and offers ongoing webinars to assist prospective individuals with key information about ACMSS, regulations, and innovations to meet healthcare goals through Volume Certification Packages.

Please contact ACMSS directly at info@theacmss.org or 657-888-2158 if you have any questions regarding the ACMSS program and/or materials.

About ACMSS

The American College of Medical Scribe Specialists is the nation’s only nonprofit professional society representing more than 17,000 Medical Scribes in over 1,700 medical institutions. ACMSS partners with academic institutions, non-profit partners, and medical scribe corporations to offer both education-to-certification and employment-to-certification pathways. ACMSS advances the needs of the medical scribe industry through certification, public advocacy, and continuing education. To learn more about ACMSS, please visit: theacmss.org

For ACMSS press inquiries and/or speaking engagements, contact:
American College of Medical Scribe Specialists
info@theacmss.org
(657) 888-2158

###

Certified Medical Scribes Support National Trends Toward Full Access to Patient Medical Records

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Certified Medical Scribes Support National Trends Toward Full Access to Patient Medical Records

Certified Medical Scribes Support National Trends Toward Full Access to Patient Medical RecordsFOR IMMEDIATE RELEASE

Certified Medical Scribes Support National Trends Toward Full Access to Patient Medical Records

CONTACT: Kristin Hagen, CPEHR, CPHIE, CPHIT, CMSS
Executive Director, Clinical Informatics/Wellness
American College of Medical Scribe Specialists

(657) 888-2158

ORANGE, Calif., June 27, 2016. In our continuing support of an American health system that revolutionizes clinical care and individualizes patient care, enabling precision care, the American College of Medical Scribe Specialists supports moves toward giving patients fully manipulable access to working versions of their full medical records.

In a Healthcare Informatics Article earlier this month titled, “Time for the Feds to Truly Open Up Patient Records to Fully Interoperable Data Use,” American Medical Informatics Association CEO Doug Fridsma, M.D., Ph.D., stated, “…to support things like discovery of new knowledge and to support precision medicine activity, we really do need to make sure that patients have access to their full medical record, in a computable format, not just a PDF format.”

“Precision medicine is evolving rapidly now in specificity to the patient,” said ACMSS Executive Director Kristin Hagen. “It’s individualized medical care and treatment plans involving the physician and patient working as a team toward wellness and prevention in an environment of trust. In order to effectively customize care, both of these team members need to have the full picture, and that means patients need to have full access to working electronic versions of their medical records.”

As a clinical informatics professional who suffered debilitating injuries from both a first- and second-generation airbag accident, and a continuous 19-year arduous paper records search and journey, Hagen pioneered to a complete wellness system, Integrative Medicine, and worked with her  healthcare provider to create a wellness plan, bringing her back to a full recovery. Hagen knows the value of sharing all of the available information. Through two decades of research on her own injuries in a complex and siloed paper-based system, Hagen also knows the frustrations of having insufficient information to even begin to create a customized healthcare plan. Airbag recalls engulf the nation; little known preventive precision care is known to wellness.

“In order to build our 21st century healthcare system, we require a combination of clinical care and technological advances,” Hagen said. “The two must be in balance, creating harmony, and an evolution of choices. The doctor-patient or doctor-client relationship models are key toward successful outcomes, working together. Technology alone will not get a patient well.

Certified Medical Scribe Specialists (CMSS) play a vital role in facilitating precision care, according to Hagen. “Certified scribes provide real-time documentation and increase practice efficiencies in a great number of areas outside of clinical documentation,” she said. “Because of the work of certified medical scribes, providers not only have a more accurate and complete picture of the patient, but they get back the time and attention they need to join the evolution of the outpatient healthcare industry into a patient-centered, integrative system that focuses on prevention, disease reversal and wellness.”  CMS recognizes Certified Medical Scribe Specialists in CEHRT Personnel Measure to document for clinicians, if not the clinician themselves.

Today’s economic investments are building integrative systems in our collaborative 21st century public healthcare system. ACMSS additionally believes that Integrative Medicine is a key piece to the future of healthcare, delivering high-technology clinical care that is customized to each patient for individual wellness. Integrative Medicine systems focus on the whole person, ensuring the individual remains healthy.

ACMSS works in compliance with CMS to meet national goals and initiatives of Meaningful Use, and proposed Medicare Access and CHIP Reauthorization Act (MACRA) into Merit-Based Payment Incentive System (MIPS).  Building integrative systems for prevention and disease reversal for patient care most heavily impact family practice, primary care, and urgent care, followed by specialities.  MACRA allows the current traditional healthcare system and providers to focus on their much-needed goals today in independent practices of working to assist patients in disease reversal and prevention toward wellness.

Please contact ACMSS directly at info@theacmss.org or 657-888-2158 if you have any questions, in addition to purchasing standardized Volume Certification Packages across healthcare, meeting national goals together.

About ACMSS

The American College of Medical Scribe Specialists is the nation’s only nonprofit professional society representing more than 17,000 Medical Scribes in over 1,700 medical institutions. ACMSS partners with academic institutions, non-profit partners, and medical scribe corporations to offer both education-to-certification and employment-to-certification pathways. ACMSS advances the needs of the medical scribe industry through certification, public advocacy, and continuing education. To learn more about ACMSS, please visit: theacmss.org

For ACMSS press inquiries and/or speaking engagements, contact:
American College of Medical Scribe Specialists
info@theacmss.org
(657) 888-2158

###

CMS MU, 2%: Certified Medical Scribes Meet Personnel Measure Meaningful Use; Prepare for MIPS Measures and Innovation

What Physicians, Practice Administrators Need to Know

Certified Medical Scribe Specialists (CMSS) are making their debut into the country in record pace?  Why?  Together we are writing our nations stories, our most sacred document in getting people healthy and well. Certified Scribes into practice workflows are key to achieving national goals and creating sustainable wellness.  Together, as a team and in unison, Physicians, Practice Administrators, and ancillary staff are working to provide valuable resources to your care team.

Practice Administrators and Physicians need to know that certified scribes are a necessity with CEHRT.  CMS has noted the following:

“CMS has asked that each provider or practice retain a copy of the Specialist Crosswalk documentation, and certificate, in their files, just as they would retain documentation outlining their individual approach and method, as well as staffing protocols for audit purposes.”

Together, as a nation, we are working hard to maintain the highest level of integrity and distinction in maintaining electronic health record compilation and utilization.  Key breakthroughs are had when documentation is aligned, utilized, and appropriate to research and outcomes.

Join Us: ACMSS hosts Open Meaningful Use Webinars: The Future is Here Now! (Friday 4/22 at 11 PST)

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MU Webinar! Join us Friday, April 22! 11 PST/2 EST

Open Town Hall Q&A ACMSS will speak on Evolving Systems Design, Preventive Medicine, Meaningfully Using Clinical Documentation, Spurring Innovation to MIPS/MACRA, Collaboration to Research & Outcomes, and, most notably, the Career Choice for Certified Medical Scribes. Register Today!

Let us help you answer key questions towards innovating our 21st-Century Healthcare System. Let’s meet Meaningful Use together!

Please register for ACMSS Meaningful Use – Townhall Webinar on Apr 22, 2016 11:00 AM PDT at:

https://lnkd.in/bWXYwG6

Next webinar: April 27, 11 PST.

We look forward to “meeting” you and speaking with you soon!

ACMSS Certified Scribes Eligible Personnel: CMS Releases Details on Meaningful Use Hardship Exceptions

ACMSS Certified Medical Scribe Specialists (CMSS) are your facilities solution to innovating with our evolving healthcare system.  Across healthcare Certified Scribes are increasing efficiencies, return on investment, and enabling higher-level care and worklife for patients and clients across America.

Together we are united; together we enable; Together we are strong!

Learn more:
TheACMSS
theacmss.org
(657) 888-2158

“Revolutionizing Clinical Care one Certified Scribe at a Time!”

CMS Releases Details on Meaningful Use Hardship Exceptions

Ken Terry

January 22, 2016

The Centers for Medicare & Medicaid Services (CMS) today supplied details about the changes in meaningful use hardship exceptions required under the Patient Access and Medicare Protection Act (PAMPA). Enacted December 28, 2015, this law requires CMS to make it easier for physicians and hospitals to request hardship exceptions from the payment adjustments to their Medicare reimbursement in 2017.

CMS did not release its final rule on stage 2 meaningful use changes, including a switch from a 12-month to a 90-day reporting period, until early October. As a result, providers had less than 90 days before year’s end to meet the new requirements, although the new rules specified a 90-day reporting period in 2015.

Nevertheless, there is no blanket exception for providers who did not attest because they did not know about the rule changes until it was too late. The hardship exception categories in the application are still limited to:

  • insufficient Internet connectivity;
  • extreme and uncontrollable circumstances, including disasters, practice or hospital closures, and severe financial distress;
  • electronic health record certification/vendor issues and lack of control over the availability of certified electronic health record technology; and
  • lack of face-to-face patient interaction.

Under PAMPA, CMS must consider hardship exceptions for “categories” of eligible professionals (EPs) and hospitals on a new, more streamlined basis. Previously, the agency handled requests for hardship exceptions on a case-by-case basis.

In the instructions for its new hardship exception request form, CMS states that multiple providers and provider types may apply as a group, using a single submission. Healthcare organizations can submit an electronic file with all National Provider Identifiers or CMS Certification Numbers for providers within a group. National Provider Identifiers for EPs and CMS Certification Numbers for eligible hospitals can also be included on the same application.

The new applications for hardship exceptions also require less information than the old ones did, CMS said.

Applications for EPs only, and applications for EPs and eligible hospitals, must be submitted by March 15 of this year. Applications that include only eligible hospitals must be in by April 1.

Physicians in five specialties do not need to submit the application. The specialties include anesthesiology, diagnostic radiology, interventional radiology, nuclear medicine, and pathology. In addition, new EPs who began to submit claims to Medicare in 2015 automatically receive exceptions to payment adjustments in 2016 and 2017, but must begin demonstrating meaningful use this year to avoid a penalty in 2018. Hospital-based EPs do not have to submit the form to avoid an adjustment.

There was not a huge falloff in the number of Medicare EPs attesting to meaningful use last year. In the 2014 program year, 228,007 EPs received meaningful use incentive payments; from January through November of 2015, nearly 183,000 did. But only 58,751 Medicare EPs received incentives in stage 2 of the program through last November compared with 307,656 who got paid in stage 1.

The big drop-off in stage 2 attestations cannot be attributed solely to the delay in CMS’ delivery of its final rule. Many physicians simply found the stiffer requirements in stage 2 not worth the effort, especially as most of the incentive money was already gone.

Hire and Require Certified Scribes, Protecting Healthcare: 209,000 organizations to pay Medicaid penalties for missing meaningful use requirements

Certified Scribes are a necessity to the 21st-Century Healthcare System. ACMSS knows the vital necessity of qualified personnel, in tandem with providers and technology evolutions. Certified Medical Scribe Specialists (CMSS) are a requirement and evolution necessity to meet MU stage 2 objectives. Input of information enables Electronic Health Records system, building  toward outcomes and wellness. Certified Scribes serve as a resource innovating care models, which should begin today and avoid increasing adjustments.

ACMSS Certified Scribes offer relief and assistance toward Physician utliziation.

Become a valuable Member, select Membership Types:  https://theacmss.org/store/membership-types/
PH: (657) 888-2158

Meaningful Use

209,000 organizations to pay Medicaid penalties for missing meaningful use requirements

Though the end to the program may be near, around 6,000 will have payments cut by up to $10,000 based on 2014 data.

By Jessica Davis

04:57 PM

Despite officials this week signaling the end of the meaningful use program, more than 200,000 eligible providers will see a 2 percent cut in their Medicaid payments in 2016 for failing to meet standards in 2014, recent Centers for Medicare and Medicaid Services data show.

About 86,000 providers will have a payment reduction between $1,000 and $10,000 and almost 6,000 more will have payments cut by up to $10,000 or more. The majority, around 117,000 providers, will receive penalties less than $1,000.

The penalties are enforced under the American Recovery and Reinvestment Act of 2009. It states, eligible providers unable to demonstrate meaningful use for the EHR reporting period will be penalized. Those providers participating in Medicare EHR Incentive programs must demonstrate meaningful use.

CMS didn’t state how many hospitals would be penalized, but the penalties are likely to be greater than those levied on physicians. Last year, about 200 hospitals were hit with penalties.

Although the amount of providers facing penalties is high, it’s still lower than last year’s reported 257,000 penalties. By 2017 these penalties are likely to be minimal, as Congress passed blanket hardship exemptions in December as part of the Patient Access and Medicare Protection Act.

More than 70 percent of eligible healthcare providers and more than 95 percent of eligible hospitals received federal government incentive payments, according to the report.

[Also: Bill expanding meaningful use hardship exemptions passes]

Since 2011, 400,000 healthcare institutions and providers have received incentive payments under the program. But meaningful use continues to endure backlash.

At a recent J.P. Morgan Annual Healthcare Conference, CMS chief Andy Slavitt said  meaningful use would likely end in 2016. The recent changes in the Medicare Access & CHIP Reauthorization Act suggest the same.

“The meaningful use program as it has existed will now be effectively over and replaced with something better,” Slavitt said. The details on the next stages will be announced in the coming months.

 

Certified Scribes Meet Requirement of Meaningful Use

 

Happy New Year!

Partner and Certify Today; Together, we are building our future!

Certified Medical Scribes are a requirement of Meaningful Use and a necessary and valuable commodity in creating our evolving health and wellness care models. Together we are united; together we are one!

Certification Options:

Certified Medical Scribe Specialist (CMSS) certification meet MU objectives
Certified Medical Scribe Apprentice (CMSA) certification
Certification Bundles, choose 1+ bundles to Unlimited (Copper to Platinum+)
HIPAA for Scribes video/certification assessment, 1 hour Continuing Education
MSCAT Training/Resource Guide (MSCAT study, Prep for Continuing Education)

What are the benefits of Certification?
Requirement of CMS Meaningful Use
Workflow management and efficiencies
Patient Safety
Electronic Health Records goals enabled
Enable evolving care models in wellness
Highly valuable member of the allied healthcare team
Professional career recognition, growth
Expanding evolving employment and career opportunities
Competitive advantage toward medical school application process
Protecting and blanketing America’s healthcare system

All in healthcare welcome; Partner with ACMSS via Membership Types:
Corporate Membership
Practice Partners
Non-Profit Partnerships (available for 501(c)3 or 501 (c)6 – all welcome
Vendor Sponsorships (EMR, HIE, HIT vendors)
Contributors
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Together, we are building “meaningful” clinical documentation!

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Professionals Can Avoid Penalties By Certifying Before End of 2015, Reminds ACMSS

 

Professionals Can Avoid Penalties By Certifying Before End of 2015, Reminds ACMSS

Hospitals and Professionals Can Avoid Penalties By Certifying Before End of 2015, Reminds ACMSSFor Immediate Release

Anaheim, CA, December 17, 2015 — The American College of Medical Scribe Specialists (ACMSS) advise that in order to avoid penalties, Eligible Professionals (EP) need to get their certifications before the end of 2015. The attestation application eligibility period is quickly ending.

Those who don’t use the program will continue to face penalties in 2016. The payment reduction started at 1% in 2015. It is pivotal our country work to onboard electronic records for the wellness and efficacy of our nation and people.

Eligible Professionals include: Doctor of Medicine or Osteopathy, Doctor of Oral Surgery, Doctor of Podiatric Medicine, Doctor of Optometry, and Chiropractors.

Any staff members who will be entering electronic Computerized Provider Order Entry (CPOE) information for Medication, Laboratory and Radiology Orders attesting for meaningful use must be certified and credentialed. Certified Medical Scribe Specialists (CMSS) qualify towards meeting the CPOE measure for EHR adoption with CMS.

ACMSS is passionate about improving clinical care and clinical documentation in an effort to revamp the country’s wellness. ACMSS advocates and develops innovative, flexible options in Electronic Medical Record (EMR) for improved wellness systems. ACMSS’ customized packages meet your needs. From non-profit partnerships and vendors to physician practices and schools.

“ACMSS has pioneered to a true wellness model. Together we will innovate 21st-century style, developing and creating higher level EMR systems into transformative Electronic Health Records systems, working with clinicians, healthcare, and standards bodies enabling high-tech clinical care, medicine, and records systems enabling sustainable outcomes,” explains Kristin Hagen, ACMSS President and CEO.

Together we are moving our nation into paradigm models that exist today, including Integrative Health for Wellness, Disease Reversal and Disease Prevention, improving population health throughout our country.

 

About ACMSS

The American College of Medical Scribe Specialists is the nation’s only nonprofit professional society representing more than 15,000 Medical Scribes in over 1,500 medical institutions. ACMSS partners with academic institutions and medical scribe corporations to offer both education-to-certification and employment-to-certification pathways. ACMSS advances the needs of the medical scribe industry through certification, public advocacy, and continuing education. ACMSS is also available for speaking engagements. To learn more about ACMSS, please visit: www.theacmss.org

 

ACMSS Revolutionizing the Future of Wellness in the United States, Together

ACMSS Revolutionizing the Future of Wellness in the United States

ACMSS Revolutionizing the Future of Wellness in the United StatesFor Immediate Release

Anaheim, CA, December 17, 2015 — The United States is adopting a 21st century healthcare system moving from a disease model to a wellness model. American College of Medical Scribe Specialists (ACMSS) understands the importance of focusing on disease reversal, disease prevention, and wellness benefits. ACMSS is dedicated to improving healthcare across America.

ACMSS is achieving this shift in our healthcare system by offering innovative, customized and flexible solutions to healthcare providers, individuals, academic institutions, and corporations.

ACMSS pioneered and recognized a wellness model exists in our country today using Integrative Health/Integrative Medicine.  Together, we create and innovate electronic medical record (EMR) systems into transformative Electronic Health Records systems, enabling a healthier US for our people.

“Medical Scribes are bringing back the doctor-patient-client relationship by enabling our healthcare providers to spend more quality time with their patients through real-time medical records,” says ACMSS’ President and CEO Kristin Hagen.

This allows physicians to see more patients and give them better service. Hospitals also benefit by having lower employee turnover, higher productivity, fewer errors, and happier healthier patients.

In addition to real-time documentation, medical scribes increase practice efficiencies in several areas, including billing, patient record organization, workflow, insurance, and patient care both inside and outside of the exam room.

A Certified Medical Scribe Specialist (CMSS) can count toward Meaningful Use requirement. Those who don’t use the program will continue to face penalties in 2016. The payment reduction started at 1% in 2015 and will continue to increase each year that an eligible professional does not demonstrate Meaningful Use, to a maximum of 9%,” according to the Centers for Medicare and Medicaid Services. Eligible Professionals include: Doctor of Medicine or Osteopathy, Doctor of Oral Surgery, Doctor of Podiatric Medicine, Doctor of Optometry, and Chiropractors.

ACMSS works closely with healthcare providers to innovate and offer solutions to some of the nation’s most challenging problems – workflows, efficiency and safety, enabling high level clinical care focused on wellness.  Become a valued Member today: Corporate levels (Platinum+ to Bronze), Practice, Individual, Vendor Sponsorship, or Contributors welcome.

ACMSS fully embraces a healthy nation in collaboration with Vendors and Non-Profit Partners, in striving together wellness models, in the United States today through Integrative Health Wellness systems, disease reversal, and disease prevention.  Together, we meet our nation’s diverse population health needs.

About ACMSS

The American College of Medical Scribe Specialists is the nation’s only nonprofit professional society representing more than 15,000 Medical Scribes in over 1,500 medical institutions. ACMSS partners with academic institutions and medical scribe corporations to offer both education-to-certification and employment-to-certification pathways. ACMSS advances the needs of the medical scribe industry through national certification, national presence, public advocacy, and continuing education, aimed at wellness. ACMSS is also available for speaking engagements. To learn more about ACMSS, please visit: www.theacmss.org.

 

 

Scribes Helping Write a New Chapter in Clinical Documentation

scribe

Posted: Monday, November 30, 2015 5:00 pm

Andy Miller, Georgia Health News

Nathan Copp, 24, recently came to the Piedmont Fayette Hospital’s ER complaining that he felt tired, short of breath and lightheaded.

Copp, who has the inflammatory bowel ailment known as Crohn’s disease, also told Dr. Robin Lowman, an emergency room physician, that he’d been having some chills.

As Lowman examined him, she dictated her observations to Shalane Thomas, who sat in a corner of the exam room and typed the doctor’s words into a laptop. Thomas’ screen also displayed Copp’s basic medical information.

Later, the physician reviewed Thomas’ notes for this and other patient visits.

Thomas, 30, is a “medical scribe,” a member of an occupation that’s growing but still relatively little known. More hospitals and physicians’ offices are using scribes to enter medical data for them, as demand for the digitization of health records accelerates.

The federal stimulus bill of 2009 gave hospitals and doctors’ offices incentives to use electronic health records. In addition, payment contracts based on medical quality require more documentation, and a new medical coding system has recently been installed nationwide.

Thomas, 30, who has been at the Fayetteville hospital for four years, works for ScribeAmerica, one of the leading national scribe companies.

The Fort Lauderdale-based company supplies scribes to 1,200 medical sites across the country, including 700 emergency departments, says its co-founder, Dr. Michael Murphy, who himself worked as a scribe while in college in California. They’re hired in a range of health care settings.

The average age of scribes at ScribeAmerica is 23, and two-thirds are female, Murphy said. The pay is roughly $12 to $20 per hour. Scribes don’t require state licensure.

Murphy said many scribes are taking the path he followed, working toward degrees in the medical field.
Studies suggest that scribes improve physicians’ productivity.

Using scribes allows physicians and other provider to see more patients, Murphy says. “It really helps with the physician shortage.”

With the push for electronic health records, Murphy said, Scribe America has added more customers. “It’s been a wild ride over the last few years,’’ he said. Georgia is a “huge market for us.”

A great help to physicians

Piedmont Healthcare has employed 25 scribes currently at its Fayette hospital ER, and also has hired them at its flagship Atlanta facility and in its Newnan hospital, as well as at outpatient sites.

Dr. Kevin Cleary, medical director for the Piedmont Fayette Hospital emergency department, said the unit has used scribes for several years. “I can’t imagine a day without them at my side,’’ he said. “The scribes not only do a great job at documentation, but provide me the opportunity to give patients more attention during my time at the bedside.”

Sometimes scribes go beyond taking down information. “They provide comfort for patients at times by getting warm blankets, and assisting patients at the bedside when no one is available. The scribes have become an extra set of eyes, ears and hands that not only assist the physicians but provide that extra service that patients need and deserve,” Cleary said.

Lowman said that at first, some physicians pushed back against the idea of using scribes, feeling reluctant to put something as important as medical data into other hands.

“Our chart [on a patient] is basically our Bible,’’ she said, summing up the common attitude of doctors. But she said she values scribes because they allow her to spend less time on the computer doing clerical work.

Dr. Jack Chapman

Dr. Jack Chapman
Thomas, the scribe, said she got into this line of work to gain experience in the medical field. She said she may eventually apply for physician assistant school.

Dr. Jack Chapman, a Gainesville ophthalmologist, has used a scribe for more than 15 years. Perhaps not surprisingly for an eye doctor, he prefers to be looking at a patient rather than constantly glancing at documentation.

“I wanted to have eye contact with the patient,” Chapman said. “Facial expressions are part of the exam.”
“It’s been very efficient,’’ he said. With a scribe and an electronic medical record, “I’m putting data [on file] in real time.”

Chapman also said he can share medical information with other providers more easily. “I find the patients like it,” he added.

And he acknowledged that he’s like many other doctors: Typing is not his strong suit.

Today is the Deadline for Medicare Eligible Professionals to Attest for 2014 Participation

EHR Incentive Programs ? A program of the Centers for Medicare & Medicaid Services

News Updates
Today is the Deadline for Medicare Eligible Professionals to Attest for 2014 ParticipationEligible professionals have until 11:59 pm ET today, March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year.

Medicare eligible professionals must attest to meaningful use every year to receive an incentive and avoid a payment adjustment. Providers who successfully attest for the 2014 program year will:

Note: The Medicare extension does not affect deadlines for the Medicaid EHR Incentive Program. Additionally, the EHR reporting option for PQRS has been extended until today at 8:00pm ET

How to Attest
Submit your data to the Registration and Attestation System, which includes 2014 Certified EHR Technology (CEHRT) Flexibility Rule options.

Tips to ensure successful attestation:

  • Before you register– make sure you have an active and approved enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS)
  • When registering– be sure to have your NPI, Identity and Access Management (I&A) ID and Password, Payee TIN, and Payee NPI information available, along with your EHR Certification Number
  • Before you attest– make sure you have a successful and active registration status in the Registration and Attestation System
    • Registration status will read “Active” when all validations pass
  • After you attest– click on the status tab to see your progress, and then click the appropriate tab to see your registration, attestation, and payment status

CMS recommends you review all of your attestation information before submitting. To learn more, see the Educational Resources on the CMS EHR Incentive Programs website.

For help, call the EHR Information Center: 1-888-734-6433
TTY for people with hearing impairments: 1-888-734-6563
MondayFriday, 8:30 am – 7:30 pm (ET)

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