Outpatient Facility Coding Alert - 2014 Issue 34
Incentive Programs: CMS Reps: Deadlines Fast Approaching to Avoid Pay Cuts
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Article Overview
This article covers CMS guidance from an Open Door Forum on upcoming deadlines affecting Medicare quality reporting and electronic health record incentive participation. It is relevant to practices and eligible professionals that may face payment adjustments, and it summarizes the types of reports, registration windows, notification letters, and administrative deadlines discussed by CMS officials.
Why This Topic Matters
The piece helps practices and providers understand whether they may be affected by upcoming Medicare payment adjustments and what CMS communications and deadlines to watch for. It is useful for organizations tracking quality reporting, group practice participation, and EHR incentive program timing.
Article Sections
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Look for Notifications of PQRS Penalties
This section covers availability of reporting feedback, CMS notification letters, and the timing of possible Medicare payment adjustments related to quality reporting participation.
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EHR Has Penalties As Well
This section addresses Medicare EHR incentive program deadlines, payment adjustment timing, hardship exception processing, and the reconsideration process.
What You Will Learn
- How CMS communicates upcoming reporting-related payment adjustments
- What types of feedback reports are available to participating practices
- Which general deadlines affect group practice reporting and EHR incentive participation
- What administrative steps may be involved when payment adjustments are expected
Who Should Read This
- Physicians and eligible professionals
- Group practices
- Medical practice administrators
- Coding and compliance staff
- Revenue cycle and reimbursement personnel
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