Anesthesia Industry and Market News: eAlerts
eAlerts are the latest industry information regarding regulatory changes, helpful compliance reminders, or any number of relevant topics in the fast-paced, ever-evolving speciality of anesthesia.
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August 29, 2011
The Centers for Medicare and Medicaid Services (CMS) has just announced the Bundled Payments for Care Improvement Initiative. On August 23, 2011, CMS invited providers to apply to help test and develop four different models of bundling payments. Letters of intent and completed applications are due on September 22nd, October 21st or November 4th, depending on the payment model. Full information is available at http://innovations.cms.gov/areas-of-focus/patient-care-models/bundled-payments-for-care-improvement.html.
August 22, 2011
Anesthesiologists, nurse anesthetists and anesthesiologist assistants who last validated their enrollment in Medicare prior to March 25, 2011 are going to have to revalidate again by March 23, 2013.
The revalidation is required under Section 6028 of the Affordable Care Act. According to this statutory provision, all providers and suppliers who were initially enrolled before March 25, 2011 and have not revalidated since then must revalidate their enrollment information within 60 days of receiving notice from their carriers, but no later than March 23, 2013.
August 15, 2011
Attestation to earn a bonus under the Medicare Electronic Health Record (EHR) Incentive program began on April 18, 2011. As of July a total of 566 Eligible Professionals (EPs) had received a total of $18,432,000 in incentive payments,
Most anesthesiologists and pain physicians – but not all – will be unable to participate successfully in the electronic health record (EHR) incentive program, at least for now. Neither specialty appears on CMS’ most recent report of eligible physicians by specialty. You have until October 2012 to begin and still receive the full bonus, however.
August 8, 2011
You already know that last week’s debt ceiling legislation, “The Budget Control Act of 2011” (S. 365), authorized $2.4 trillion in additional government borrowing, did not raise any new revenues and provided for $2.5 trillion in spending cuts over the next ten years.
August 1, 2011
A quick search of social networking sites Facebook, Linked In, Twitter and YouTube shows many busy anesthesia communities, and quite a few underutilized placeholders. In case the term “social media” or the names of the major media noted above are unfamiliar to any readers, we will borrow ASA’s useful definition:
"Social networking and media" is the term commonly given to various online and interactive technology tools that enable people to communicate easily via the internet to share information and resources, including social and professional networking sites, blogs, wikis, forums, virtual worlds, trade sites and Listserv® lists. Social media can include the exchange of text, audio, video, images, podcasts and other multimedia communications that are user driven. As the name implies, social media involves the building of communities or networks, encouraging participation and engaging participants of all ages.
July 25, 2011
Every anesthesiology department and practice should have a copy of ASA’s Manual for Departmental Organization and Management (the “MADOM”), the “essential reference” for any department. This publication has long been one of ASA’s most underappreciated resources – but it certainly should not be. The fact that it is free to members of the association is a benefit of membership, not a comment on its value. Others may purchase a CD or download the MADOM for $100 from the ASA website.
July 18, 2011
If you received any practice management or health policy newsletters at all, you almost certainly saw or heard the acronym “IPAB” last week. Two committees in the House of Representatives held widely publicized hearings on legislation to repeal the Independent Payment Advisory Commission or “IPAB,” a radical cornerstone of the Affordable Care Act (ACA).
July 11, 2011
Here we go again. The fearsome Sustainable Growth Rate (SGR) formula has forced the Centers for Medicare and Medicaid Services (CMS) to project a 29.5 percent decrease in payments to physicians in 2012, or an overall conversion factor (CF) of $23.9635, in the proposed Physician Fee Schedule (PFS) rule
July 5, 2011
Beginning on November 1, 2011, all physicians must use a new and minimally revised a Advance Beneficiary Notice of Noncoverage (ABN form. This revision is part of a regular three-year cycle and it contains minor changes only.
June 27, 2011
Some things should not be this complicated. Physicians' and other providers' signatures have come under renewed scrutiny, however, because the national Medicare Fee for Services (FSS) Error Rate for the most recent reporting rate was 7.8 percent. That translates to more than $24 billion paid in error.
June 20, 2011
Making it more expensive for beneficiaries to choose teaching and other higher-cost hospitals is one way that health insurers are protecting their margins. Raising deductibles and copayments in order to keep premiums deceptively level is another. The well-respected Drew Altman, Ph.D., President and CEO of the Kaiser Family Foundation, recently made three predictions...
Information from ASA on (1) Joint Commission Requirements and (2) Anesthesia Information Managment Systems
June 13, 2011
American Society of Anesthesiologics members have acess to an up-to-date set of policy templates and implementationforms that will help their hopsitals satisfy The Join Commission's requirements for anesthesia services.
June 6, 2011
The deadline for submitting at least ten Medicare claims for services involving an electronic prescription (eRx) is just 25 days from now.
May 31, 2011
Although anesthesiology has one of the highest rates of participation in the Physician Quality Reporting Initiative (PQRI, now the Physician Quality Reporting System or PQRS), the specialty also has one of the highest error rates in reporting—nearly 50 percent.
May 23, 2011
Anesthesia and pain medicine practice managers who keep up with the National Correct Coding Initiative already know of an important change that went into effect on April 1, 2011...
May 16, 2011
An increasing number of anesthesia groups struggle with getting the younger partners engaged in leadership roles.
May 9, 2011
Several hundred anesthesiologists, including a generous proportion of residents, came to Washington D.C. last week to participate in the annual Legislative Conference organized by the American Society of Anesthesiologists.
May 2, 2011
The Medicare and Medicaid programs continue to lose large amounts of money to fraud and abuse. In 2010, the amount recovered by the Centers for Medicare and Medicaid Services (CMS) exceeded $4 billion.
Anesthesiologist and CRNA Participation Rates in the Physician Quality Reporting Initiative (PQRS), and New Compensation Data
April 25, 2011
Anesthesiologists had the second-highest rate of participation in the PQRS (then known as the PQRI, or Physician Quality Reporting Initiative) in 2009. Nearly 17,500 anesthesiologists, or 41.1% of those eligible, reported PQRS measures on their Medicare claims.
April 18, 2011
This Alert is for readers who need a basic familiarity with the 5010, in time for the compliance deadline, i.e., January 1, 2012.
April 11, 2011
It is no surprise that on March 31, 2011 the Centers for Medicare and Medicaid Services (CMS) released its long-awaited Notice of Proposed Rulemaking regarding the Medicare Shared Savings Program (the Shared Savings Program) and ACOs