Jim Tate

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MedCity Influencers

Meaningful Use Audits 2.0

New Wave of Meaningful Use Audits Launched by the Office of the Inspector General (OIG) Most of us have gotten pretty used to the Meaningful Use (MU) audits being conducted by Figliozzi & Company. They are the folks that have been conducting the CMS EHR Incentive audits for both eligible hospitals (EH) and professionals (EP) […]

MedCity Influencers

Meaningful Use and Zombie Land

CMS Proposed Rule Creates Meaningful Use Confusion We have entered Zombie Land. The 2011 Edition of certified technology was put to rest on December 31, 2013. The nails were put in the coffin. We said our goodbyes, made our peace, and tried to move on. Now without warning a CMS Proposed Rule threatens to bring […]

MedCity Influencers

The Forgotten Meaningful Use Incentive Adjustment

Ah, the life of a hospital CIO. Sometimes everything just falls into place. It doesn’t matter if you work for a 40 bed rural Critical Access Hospital (CAH) or a 700 bed critical care center in an urban center, the satisfaction can be the same.  All the details of your CMS EHR incentive attestation were […]

Health IT

Mock EHR Incentive Audits: Time to Get Serious – Part II

A Proactive Approach to Meaningful Use Audits – Part II I trust my post last week directed to Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) was convincing on the need to conduct mock audits on their CMS EHR Incentive attestations. There is simply too much at stake. I have seen enough failed audits and […]

Health IT

Mock EHR Incentive Audits: Time to Get Serious

A Proactive Approach to Meaningful Use Audits Well, you could wait and play the odds and hope you are one of the hospitals that doesn’t get audited for those CMS EHR Incentive attestations that brought in seven figure incentives. This is what most Eligible Hospitals (EHs) and Critical Access Hospitals (s) are doing. You could […]

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A Deep-dive Into Specialty Pharma

A specialty drug is a class of prescription medications used to treat complex, chronic or rare medical conditions. Although this classification was originally intended to define the treatment of rare, also termed “orphan” diseases, affecting fewer than 200,000 people in the US, more recently, specialty drugs have emerged as the cornerstone of treatment for chronic and complex diseases such as cancer, autoimmune conditions, diabetes, hepatitis C, and HIV/AIDS.

Health IT

HIMSS14: Updates on CMS Medicare Incentive Audits and Appeals

Majority of Failed Audits Tied to MU Measures and Security Risk Analysis Last week found me in Orlando at the annual HIMSS conference sniffing out any information and news related to the CMS EHR Incentives programs and those pesky audits. Some of what I discovered is based on officially announced policy but there have also […]

Health IT

CFO charged with meaningful use fraud

Indictment Issued for False Statements to CMS and Aggravated Identity Theft It was just a matter of time before the CMS EHR Incentive audit process uncovered alleged actions so severe that there was nothing left to do but issue Federal criminal indictments. I’ve been waiting for some time for the first report of this type […]

Health IT

The Black Box: The Appeal of a Failed Meaningful Use Incentive Audit

Whether you are an Eligible Hospital (EH) or Eligible Professional (EP) receiving a “negative determination” at the conclusion of a Meaningful Use incentive audit can definitely raise your anxiety level. A pre-payment audit failed is bad enough but a post-payment failure can lead to sleepless nights. The Federal Government is telling you that they want […]

MedCity Influencers

Certified EHR getting data from non-certified PM system

One very common question I receive about the CMS EHR Incentive Programs for Eligible Providers (EPs) concerns their use of a separate Practice Management System. Many EPs have an EHR that has received Certified Complete EHR status from CMS. They often have a separate Practice Management System that incorporates the functionality to maintain scheduling, billing, patient accounts, and […]

Health IT

Proposed Stage 2 Meaningful Use Requirements Expected Soon

So the holidays have past and we can all ease back into the well-known and comfortable understanding of Stage 1 Meaningful Use and incentives. Correct? Well don’t get too deep in that couch. Sure the incentives are flying into inboxes at a record pace. In November 2011 alone over $585,000,000 was paid out to Eligible Professionals and Eligible Hospitals as incentives. I hope […]

Health IT

Meaningful Use Attestation and Audits: A Word to the Wise

The CMS EHR Incentive Program is going full bore. Over $390,000,000 was paid out in November alone by Medicare to Eligible Professionals (EP) and Eligible Hospitals (EH). That doesn’t even include the Medicaid incentives. Seems like every possible EHR is certified, EPs and EHs are registering, and we’ve even seen the Stage 1 early 2011 […]