Archives     Advertise     Editorial Calendar      Advertiser Index     Subscribe     Contact Us    


NMGMA: 10 Minute Takeaway


 
MGMA's Suzanne Falk delivers updates from D.C. to practice managers

Last month, the Nashville Medical Group Management Association met at their new location at West End United Methodist Church for an update from D.C. The lunch meeting, sponsored by Life Credit Union, featured Suzanne Falk, MPP, associate director of Government Affairs for MGMA, the local association's national organization.

Falk shared insights on trending topics ranging from QPP and MACRA to proposed 2018 regulations and ongoing health reform discussions impacting physician practices.

"For every three pages of law that comes out, there's about 300 pages of regulations," Falk said ruefully.

One new regulation practices need to address, she continued, is rooted in section 1557 of the Affordable Care Act. She said nondiscrimination standards tied to language barriers call for providers to formalize and document a language access plan. The Office for Civil Rights under the Department of Health & Human Services has recently released more detailed information on the final rule on Section 1557. Go online to hhs.gov/civil-rights for details.

Another issue MGMA has identified is the cost of virtual credit and electronic funds transfer (EFT) fees. Falk said a survey released last month by MGMA found one in six practices faces EFT service fees, which can be as much as 5 percent.

"I don't have to tell you that can really quickly eat into your bottom line," Falk said. She added service providers are not required to tell practices about the fees. "Be vigilant and be your own advocate," she advised.

While there are a number of benefits from electronic transactions, MGMA and other provider organizations have advocated for the Centers for Medicare & Medicaid Services (CMS) to release regulatory guidance on such transactions. The Workgroup for Electronic Data Exchange (WEDI) created a task group co-chaired by MGMA and Aetna to draft a set of consensus-based electronic payment principles calling for more transparency regarding fees.

With the move to MACRA, Falk cautioned practice administrators against ignoring Physician Quality Reporting System (PQRS) reports and Quality Resource Use Reports (QRURs). While it's tempting to push them aside since the programs have ended, Falk said, "I cannot stress enough how important it is to still check these reports. With that two-year lag between payment and performance, we're still feeling the pain of these programs."

She added practices have 60 days after a report is released to file a review request to address any discrepancies. Without such a request, Falk noted, the practice is out of luck even if a mistake was made.

Falk noted MIPS topped the list on the MGMA 2017 Regulatory Burden Survey. She offered her own set of MIPS survival tips when discussing the move to MACRA. Like other recent NMGMA speakers, she stressed, "Please protect yourself from a MIPS penalty. There is no reason anyone in this room should get a penalty."

She also added that MACRA rules continue to evolve and the end of the year would bring a new wave of decisions. "What's right for your practice and best now might not be tomorrow so stay engaged," she added.

For links to resources from MGMA and other agencies, go online to NashvilleMedicalNews.com. The next NMGMA meeting will be held on Oct. 17 at the new location at 2200 West End Ave.


WEB:

MGMA

MGMA Washington Connection

MACRA/QPP Resource Center

OCR Info on Section 1557

FAQs about Section 1557

MGMA Survey on Electronic Payment Fees

MGMA 2017 Regulatory Burden Survey

 
Share:

Related Articles:


Recent Articles

Tivity Health Takes Meaningful Steps to Keep Seniors Engaged, Connected

At first glance, SilverSneakers might appear to be 'just' a fitness class ... but dig a bit deeper, and it's clear this class is actually a community keeping participants active and engaged.

Read More

AMA Adopts Policy to Combat Public Health Disinformation by Health Care Professionals

New policy aims to address spread of rampant disinformation amid COVID-19 pandemic

Read More

AMA Adopts Policy Aimed at Strengthening U.S. Public Health Infrastructure, Opposing Limits Placed on Public Health Officials

New policy calls for consistent, sustainable funding, a robust public health workforce, and data modernization

Read More

Managing Risk of Cyber Incidents

Cyber threats are here to stay -- and they continue to be one of the topics keeping senior management up at night. With breaches and ransomware attacks still occurring at high rates, the healthcare industry continues to be significantly impacted.

Read More

American Cancer Society, Meharry Team Up to Change the Narrative

Meharry Medical College is one of four HBCUs partnering with the American Cancer Society.

Read More

Navigating Cancer Care

Nashville startup Thyme Care is proving to be an innovator in the cancer navigation space.

Read More

ONcology Rounds

New treatments, research and leadership - Middle Tennessee has a lot going on in oncology care.

Read More

Reducing Surgical Site Infections in Orthopedic & Other Surgeries

Insights from a leading orthopedic trauma surgeon who recently visited Nashville for the Clinical Orthopaedic Society (COS) 2021 annual meeting in early November. Robert Harris, MD serves as First President-Elect for the COS.

Read More

HealthStream Preps the Workforce to Battle the Opioid Epidemic

Fanning the flames of emotional and physical pain, the global COVID-19 pandemic has added fuel to opioid use, driving the epidemic to new heights.

Read More

Fighting Addiction on All Fronts

Substance use disorder knows no racial, economic, sexual orientation, age or gender boundaries. Fighting it requires a concerted effort on all fronts.

Read More

Email Print
 
 

 

 


Tags:
MACRA, Medical Group Management Association, MGMA, MIPS, NMGMA, QPP, Suzanne Falk
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: