Medicare Compliance & Reimbursement - 2008 Issue 21
PHYSICIAN NOTES: CMS Advisory Opinion Approves of Hospital's Software That Communicates With Physicians' EHRs
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Article Overview
This news-style article is for physicians, hospital administrators, compliance staff, and coding/reimbursement professionals who track CMS policy and Medicare program updates. It summarizes a CMS advisory opinion involving hospital software that communicates with physicians’ electronic health records, and it also notes separate Medicare-related items on fraud enforcement attention in South Florida and CMS testing of new quality measures for possible future PQRI adoption.
Why This Topic Matters
The article highlights CMS activity that may affect compliance planning, hospital-physician interoperability initiatives, and reporting strategy for practices watching Medicare quality programs and audit trends.
Article Sections
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CMS Advisory Opinion on Hospital Software and EHR Communication
Discusses a CMS advisory opinion involving a hospital plan to develop software that interfaces with physicians’ electronic health records. The section also notes the opinion’s limited applicability.
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Medicare Fraud Enforcement Focus in South Florida
Summarizes a news item about Medicare fraud activity and enforcement attention in South Florida. The section provides context about the region’s prominence in recent cases.
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CMS Testing New PQRI Quality Measures
Covers CMS testing of new quality measures for possible future inclusion in PQRI. The section describes the general subject areas covered by the measures and the reporting window.
What You Will Learn
- How CMS addressed a hospital software and EHR communication arrangement in an advisory opinion
- Why Medicare fraud enforcement trends in South Florida are being highlighted
- What CMS is doing with new quality-measure testing for PQRI
- Which broad clinical subject areas are represented in the new measures
Who Should Read This
- Physicians
- Hospital administrators
- Compliance officers
- Medical coders
- Revenue cycle professionals
- Practice managers
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