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What to Plan for in Q4 
Wednesday, October 1, 2014 
Disclaimer: Nothing that we are sharing is intended as legally binding or prescriptive advice. This presentation is a 
synthesis of publically available information and best practices.
Q4 : October –December, 2014 
2 
4 
1 
3
The 
Good 
News 
• Adoption of ICD-10 
has been delayed. 
• Final rule allows for 
delay in 
implementing MU1 
2014 or MU2 (if you 
can attest to vendor 
delays).
Priorities 
for 
Q4 
 Meaningful Use 
 Value-Based Payment 
Modifiers 
 Transparency 
 Open Enrollment for 
ACA
Meaningful Use 
Determine your strategy based on the final 
rule. 
Create an audit binder. 
Prepare a statement citing why you should 
be able to opt out of any part of MU.
Value-Based Payment Modifier 
When reporting any clinical data to 
CMS, make sure thresholds demonstrate 
you are providing high quality care. 
If you have any vendor problems with 
data accuracy, fix them.
Transparency 
Market your own practice and post your own prices. 
Make sure to report good quality data. 
Find out what providers in your area are charging and 
how you compare. (MGMA & OPTUM are good sources.) 
See how your reimbursement ranks vs. your competitors 
on the Medicare website and ensure data accuracy.
Open Enrollment for ACA 
Open Enrollment begins November 15. 
Check and confirm patients’ eligibility, what plan they 
are on, and their deductible before their scheduled 
appointment. Keep this information in the practice 
management system.. 
Notify patients about their deductible before they 
come to the clinic; keep a card on file, or collect up 
front.
Q&A 
Ben.quirk@quirkhealthcare.com

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What Healthcare Must Plan for in Q4 2014

  • 1. What to Plan for in Q4 Wednesday, October 1, 2014 Disclaimer: Nothing that we are sharing is intended as legally binding or prescriptive advice. This presentation is a synthesis of publically available information and best practices.
  • 2. Q4 : October –December, 2014 2 4 1 3
  • 3. The Good News • Adoption of ICD-10 has been delayed. • Final rule allows for delay in implementing MU1 2014 or MU2 (if you can attest to vendor delays).
  • 4. Priorities for Q4  Meaningful Use  Value-Based Payment Modifiers  Transparency  Open Enrollment for ACA
  • 5. Meaningful Use Determine your strategy based on the final rule. Create an audit binder. Prepare a statement citing why you should be able to opt out of any part of MU.
  • 6. Value-Based Payment Modifier When reporting any clinical data to CMS, make sure thresholds demonstrate you are providing high quality care. If you have any vendor problems with data accuracy, fix them.
  • 7. Transparency Market your own practice and post your own prices. Make sure to report good quality data. Find out what providers in your area are charging and how you compare. (MGMA & OPTUM are good sources.) See how your reimbursement ranks vs. your competitors on the Medicare website and ensure data accuracy.
  • 8. Open Enrollment for ACA Open Enrollment begins November 15. Check and confirm patients’ eligibility, what plan they are on, and their deductible before their scheduled appointment. Keep this information in the practice management system.. Notify patients about their deductible before they come to the clinic; keep a card on file, or collect up front.