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Improving the Health of Your Practice

Revenue Management

Aultman MSO offers comprehensive accounts receivable management services, along with reporting capabilities.

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Information Systems

Aultman MSO provides local information systems support to all clients with one number to call for any system-related problems.

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Consulting & Education

Aultman MSO is committed to providing a variety of education opportunities for providers and their staff.

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Coding & Compliance

With the implementation of ICD-10-CM, Aultman MSO is here to help with the transition.

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Credentialing

Let the Aultman MSO credentialing specialists provide credentialing services for you and help to ease the enrollment process.

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Information Systems

Aultman MSO provides local information systems support to all clients with one number to call for any system-related problems.

Learn More

Consulting & Education

Aultman MSO is committed to providing a variety of education opportunities for providers and their staff.

Learn More

Coding & Compliance

Aultman MSO has a staff of certified coders here to answer your questions, along with an offering of ICD-10-CM educational classes for your office.

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Credentialing

Aultman MSO is here to assist providers with the preparation and maintenance of initial insurance credentialing paperwork.

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CMS Releases Proposed Changes To MPFS For 2016

On July 08, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2016.

Modifications to the Physician Quality Reporting System (PQRS)

  • CMS proposes to establish the same criteria for satisfactory reporting that was established to avoid the 2017 PQRS payment adjustments, which is generally to require the reporting of nine measures covering three National Quality Strategy domains.
  • If an individual EP or group practice does not satisfactorily report while submitting data on PQRS quality measures, a 2% negative payment adjustment would apply in 2018.
  • CMS proposes to make changes to the PQRS measure set to add measures where gaps exist, as well as to eliminate measures that are topped out, duplicative, or are being replaced with a more robust measure.   If all measure proposals are finalized, there will be 300 measures in the PQRS measure set for 2016.
  • CMS proposes to add a reporting option that will allow group practices to report quality measures data using a QCDR.

Physician Value-Based Payment Modifier

  • CMS proposes to continue to set the maximum upward adjustment under the CY 2018 Value Modifier at:  +4.0 times an adjustment factor for groups with ten or more EPs;  +2.0 times an adjustment factor for groups with between two to nine EPs and physician solo practitioners; and +2.0 times an adjustment factor for groups and solo practitioners that consist only of nonphysician EPs.
  • CMS proposes to set the amount of payment at risk under the CY 2018 VM t0 –4.0 percent for groups with ten or more EPs, -2.0 percent for groups with between two to nine EPs and physician solo practioners, and –2.0 percent for groups and solo practitioners that consist only of nonphysician EPs who are PAs, CNSs, and CRNAs.

The Medicare EHR Incentive Program

  • CMS is proposing to revise the definition of certified EHR technology to require certification of EHR technology in accordance with criterion proposed by the Office of the National Coordinator for Health Information Technology in relation to CMS’s form and manner requirements for electronic submission of CQMs certified electronic health record technology.

Full Proposal: https://s3.amazonaws.com/public-inspection.federalregister.gov/2015-16875.pdf

Fact Sheet: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-07-08.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending

Updates

Medicare 60-Day Repayment Rule

02-25-16

On February 12, 2016 the Centers for Medicare and Medicaid Services (CMS) published a final regulation regarding the 60 day repayment rule.

EFFECTIVE JAN. 1, 2016: MEDICARE ADVANCE CARE PLANNING SERVICES

12-03-15

Beginning on Januray 1st, 2016 physicians and other practitioners will be able to bill out two separate CPT codes for advance care planning (ACP).

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