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Seth Flam, DO

Lead Blogger: Seth Flam, DO

Dr. Flam is one of the founders of HealthFusion and serves as the company's CEO and President. He is board certified in Family Practice and is one of the creative forces behind MediTouch EHR.

Stage 1 and Stage 2 Meaningful Use Makeover – 5 Things You Need to Know

Meaningful Use
On April 10, 2015, CMS released a proposed rule that would dramatically change the Medicare and Medicaid (EHR) Incentive Program. The following are the 5 most important proposed changes to the rule and ramifications of these proposed changes 1. Reduced Reporting Period in 2015 – The EHR reporting period that was targeted to be a full year in 2015 would be reduced to a 90-day (not calendar quarter) period based on the calendar year. 2. The Most Difficult Patient Engagement Measures are Relaxed – The Exchange of Secure Messages with patients where […] Continue Reading

The 3 Most Challenging Meaningful Use Stage 3 Objectives

The proposed Meaningful Use Stage 3 rule includes 8 objectives. Some objectives are subdivided into multiple measures; therefore, providers will need to attest to approximately 16 measures. Meet all 8 objectives and you meet Meaningful Use Stage 3; fail just 1 objective and for most providers, payment adjustments (financial penalties) will be assessed. Since a single challenging objective could result in Meaningful Use failure, it is important to understand the hurdles that lie ahead should the current proposed rule become law. We define a Challenging Stage 3 Objective as one where either […] Continue Reading

3 Provider Wins Proposed in the New Meaningful Use Stage 3 Regulation

CMS SGR Repeal with No ICD-10 Delay
This is the second in a series of blog posts examining the Meaningful Use Stage 3 Proposed Rule and its impact on medical practices. You can also review our first post, “5 Things You Need to Know About the Meaningful Use Stage 3 Proposed Rule.” This post examines three wins for providers in the Meaningful Use Stage 3 Rule. 1. Data Portability – Providers have been struggling to migrate from their old EHR to a more modern one. Providers using old client server applications want to move to the cloud. In addition, […] Continue Reading

5 Things You Need to Know About the Meaningful Use Stage 3 Proposed Rule

CMS SGR Repeal with No ICD-10 Delay
The proposed rule for Meaningful Use Stage 3 was announced on Friday, March 20, 2015, and is now available for comment by stakeholders. CMS will rule on comments and the rule will probably be finalized early in the third quarter of this year. Then the ONC will prepare testing information by the late third quarter/fourth quarter and EHR vendors will start building the necessary modules. Here are 5 things you need to know about the Stage 3 proposed rule; we will follow with additional blog posts giving you a deeper look at […] Continue Reading

Most Providers Poised to Embrace Chronic Care Management

Chronic Care Management and Medicare Advantage
According to a recent survey, 76 percent of respondents said they would organize and structure to meet chronic care management program requirements within the next six months. When asked how many would try to meet the program requirements in 12 months, 92 percent said they would. Of course, this means that three quarters of providers are missing out on the revenue—estimated to be approximately $300,000 per year for the average practice—for anywhere from six months to a year, but the enthusiasm for this new benefit can not be ignored. Why the delay […] Continue Reading

Good News for Meaningful Use Providers: CMS to Reduce Meaningful Use Reporting Requirements for 2015

CMS SGR Repeal with No ICD-10 Delay
CMS announced today that they are reducing the reporting burden on providers for Meaningful Use in 2015, much to the relief of providers and hospitals. CMS said in its blog post that they are considering proposals to: Realign hospital EHR reporting periods to the calendar year to allow eligible hospitals more time to incorporate 2014 Edition software into their workflows and to better align with other CMS quality programs. Modify other aspects of the program to match long-term goals, reduce complexity, and lessen providers’ reporting burdens. Shorten the EHR reporting period in […] Continue Reading

CMS Publishes Final Rule Related to Meaningful Use Flexibility

CMS Meaningful Use EHR software
In June, we attended a CMS meeting for EHR vendors that reviewed the Meaningful Use Proposed Rule that would offer more “flexibility” with regard to reporting in 2014. In addition, the rule proposed increasing the length of Meaningful Use Stage 2. We subsequently blogged about the rule and we presented an overview of the proposed version. In addition, we reported on some issues that we felt were ambiguous. CMS has just published the Final Rule and we believe it clarified the issue that we were most concerned with. Overview of the September […] Continue Reading

Meaningful Use Update From the June CMS Vendor Workgroup Meeting – What You Need to Know

Are you ready for a full year of Meaningful Use?
CMS and ONC published an NPRM on May 20 regarding Meaningful Use An NPRM is a notice of proposed rule making and serves as a public notice issued by law when one of the independent agencies of the United States government wishes to add, remove, or change a rule or regulation as part of the rulemaking process. It includes a period of public comment. If finalized, the NPRM would: Allow providers to meet meaningful use with EHRs certified to the 2011 or the 2014 Edition criteria, or a combination of both Editions […] Continue Reading

Meaningful Use and ICD-10 Delays – What They Tell You About the EHR Marketplace

Most every healthcare initiative gets delayed: HIPAA administrative transactions (claims, eligibility, etc.) took years to implement. Remember NPI? It was delayed. 5010 transactions? Of course. ICD-10 has been delayed for years and it’s still not implemented; at this point October 2015 is the new target. Surprise! Meaningful Use 2014 along with Stage 2 measures are now part of the endless cycle of strict mandates, followed by promises of CMS payment adjustments (the nice word for penalties) and then a last minute relaxation or delay of the mandate. Stage 2 Meaningful Use was […] Continue Reading

Stage 2 Meaningful Use Was a Pipe Dream for Eligible Professionals AND CMS, Part II

Medical billing challenges
Editor’s Note: We originally wrote this post detailing the reasons that Stage 2 Meaningful Use was unattainable for most eligible providers before CMS announced the proposed rule on May 20 that changes the requirements. In the article, we outlined the obstacles that were preventing most providers from successfully attesting in the existing ecosystem. As we predicted, CMS was forced to change the requirements due to these issues. CMS’s role in Meaningful Use was never supposed to be a political one, but with Stage 2 Meaningful Use we have noticed that CMS officials […] Continue Reading