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Ok, well it isn't actually a 6.5% raise, but we all get a 0.5% raise, and nearly everyone should be able to avoid the 6% cut, so the "delta" in your payments is 6.5%.

1. Look at this thread and complete the brief form for a hardship exemption for 2015 (which avoids a 2% cut in 2017). The deadline for requesting the exemption is now 7/1/16. I really think that any of us who get this 2% cut have only themselves to blame.

2. Use a registry to send in PQRS data. I just spent a couple of hours at the end of the day today doing this. We used MDinteractive. The cost of the registry is $199, and the savings is avoiding a 4% cut in Medicare payments in 2017. The list of measures on their website is pretty extensive. Keep in mind... you only enter data on 20 patients, of which 11 must be Medicare and the remainder can be with any insurance.
You have to act fast on this one, as the submission deadline is 2/29/15.


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Jon - Just saw this in the evening email.

Deadline Extension

Same subject or different?

From the link::
The CMS has extended the deadline for hospitals, physicians and other eligible professionals to file applications for so-called ?hardship? exemptions from the meaningful use requirements of the electronic health records incentive payment program.

The new deadline for hospitals, critical-access hospitals (CAHs), physicians and other eligible professionals (EPs) is now July 1, 2016, a brief statement from the CMS said. The previous deadlines were March 15, 2016 for physicians and other EPs, and April 1, 2016 for hospitals and CAHs.


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I hereby nominate Jon for the esteemed position of AC Board Medicare Incentive/Penalty Guru.

To expand on his comments on PQRS, I believe the 2/29/16 deadline he is referring to is for the 2015 PQRS, which affects 2017 Medicare payments. The 2016 PQRS is still underway. In fact, when we tried to report for 2016 (doing 20 patients is easy and quick), the registry was not set up yet to record the data.

I hope Jon is working on renewing the Primary Care Incentive next, which expired at the end of 2015.


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Thanks for the info, but it's 3/1 and looks like I missed it. No way to submit for 2015 now? They have never sent me anything on this...


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Why do you say to avoid a 4% cut in 2017? It's debatable whether a 2% cut is worth my time.

In 2015, if an individual EP or group practice does not satisfactorily report or satisfactorily participate while submitting data on PQRS quality measures, a 2% negative payment adjustment will apply in 2017.

The adjustment (98% of the fee schedule amount that would otherwise apply to such services) applies to covered professional services furnished by an individual EP or group practice during 2017.


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So, Since they shortened the period in 2016 from 1 year to 3 months but did not announce this until after October 1st, can we try for an exemption again this yr?


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I hate their silly game


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Bert: Please comment on the board
Bert: for this issue
Mark@AC: NewCrop just informed us that there is an outage. They are investigating, but no ETA at this time.
koby: yes what a combo new crop and AC reliable as Amazon......NOT
Mnemonic: A lot of fake stuff on Amazon, Just saying.
koby: but they take it back....NewCrops fixed
Mark@AC: Updox System Issues An update has been posted We will be taking the application offline at 4:30 PM (Eastern) to perform emergency maintenance. The application will be down for approximately 1 hour.
AmazingDave: 10/14. Multiple eRx failures. Anyone else?
JBS: eRx not working for us this morning 10/15 630am Eastern
JBS: Looks like its related to the migration - we completed it by NewCrops apparently doesnt think so
beagle: updox is downdox again, 10/15
JBS: updox back up... now if we can just reach Ac to restore eRx
DocMark: eRx is up for us but slow, unworkable
BrotherJon: eRx issue for many. New Crop and AC working on it.
ChrisFNP: yep, refills have crashed twice today
Dr M @ EmmFamPr: newcrop down for us also; and we did the migration; unable to send anything electronically
ChrisFNP: Any updates fr us in the CST area?
ACZ: Still no fix to prescibing. Nobody available from AC last time I checked. I have an email request in. Anyone else?
ACZ: update on prescribing: After calling thursday morning and leaving a message, received call from AC. They changed something on their end, and prescribing is fixed.
eriklloyd: 11/11/24 - Prescription failure for us. Anyone else experiencing issues?
Pinky: Yes. Prescriptions aren't going through.
beagle: anyone contact ac and get eta fix?
AMCS: Same
AMCS: This is from newcrop: New incident: Investigating We are currently investigating an error that may occur when attempting to transmit prescriptions. This is resulting in prescriptions remaining queued. Our engineers are working on resolution presently.
Bert: I am sure AC knows. It's probably a NewCrop issue and they are working on it
Pinky: It is working now. 1pm EST. 11/11/24.
Clem Surak: Is anyone else using ACPM and the EOBs are not matching up to patient accounts and the EOBs are having to be retyped into ACPM? Started a couple of weeks ago. Payer IDs are correct and match the EOB payer IDs.
tcosta: @ Clem Surak: yes, this has been going on for MONTHS in our office. We've been told it's the payers fault and it has to do with loop segments and payer response. Doesn't make sense to me, considering it's ALL the time now on multiple EOB's a week.
tcosta: It almost never used to happen and now it's constant.
tcosta: ACPM is extremely short staffed and it's taking them days to respond and fix the issue.
Clem Surak: Yes, it has been getting progressively worse. I have a ticket logged, but have not heard back, so I keep retyping the EOBs so that our accounting is up to date. Hope the migration to the new Clearinghouse fixes this issue. Thanks for the response.
Bert: Can anyone tell me where the post is from AIDevelopment
ChrisFNP: Anyone else experinencing sloooowwww prescribing? 11/22/2024 1550CST
Reena: eprescribing has not worked for me all day
awcenter: Anyone having problems with escribe this morning
ChrisFNP: 12/16 very slow escribe but working
ChrisFNP: I think escribe is already on Holiday 12/20
beagle: Alas, random escribe slow downs unfortunately par.
DRMO: anyone else having problems with e-prescribing today? Had issue on Friday also, but it autocorrected. now back 12 30 24
ChrisFNP: can't validate for controlled
DRMO: AC support did a remote assist. problem fixed. TY
ChrisFNP: MIne corrected about 2 cst
Headcase: I cannot Rx Fioricet last few days, put in support ticket....
Headcase: This Fioricet thing probably is of limited general interest, but I was able to send generic...
Bert: This sucks
ChrisFNP: A/C meeting today at NOON EST
ChrisFNP: Meeting is 2/26/2025 should have an email with the invite
koby: does it matter if NewCrap is worse on a Friday than a Monday?
ChrisFNP: nope, both are busy for me
lesmar: "Prescription batch error. There was an unknown failure trying to complete the prescription batch for [patient name]."' I was just trying to send a refill on narcotic medication. Any suggestions would be greatly appreciated. Thanks
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