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Welcome!

Welcome to the Winter edition of the Leading Edge. In this issue, we describe a host of coding, reimbursement and other changes, starting with major updates to PQRS and the Value Based Modifier Programs. The latter is especially important for groups with 10 or more providers. Since it’s January, we are talking about SGR. At least we have a 3 month reprieve! If you use an EHR system, please read our article about “cloning” and the risks it may present to your practice. Enjoy the issue!

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2014 Emergency Medicine Medicare Updates

Like all specialties, emergency medicine is affected by the 2014 Medicare Physician Fee Schedule. CMS estimates a 2% increase for emergency medicine based on the cumulative impact of changes to the work, practice expense, and malpractice RVUs, as well as the Medicare Economic Index adjustment.

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ICD-10 Readiness

It’s January 2014 and ICD-10 implementation is only 10 months away. AdvantEdge has been preparing for the ICD-10 transition for the past two-plus years. This article summarizes our preparation and the next steps.

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ACA Impact on Anesthesia Groups

Given the pressures on hospital finances, many anesthesia groups are considering proactive steps to be “part of the solution” rather than be perceived as “part of the problem.” This is particularly true where groups have a financial support agreement (e.g. stipend). We outline some proactive steps that groups can take.

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QualityEdge Anesthesia Quality Application

In October, AdvantEdge announced the QualityEdge anesthesia application. A surprising part of the feedback is that many groups are less interested in AQI reporting but more interested in tracking the metrics needed for their hospital and/or their group’s quality programs.

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