Archive for October, 2016

ONC Publishes Final Rule to Tighten Certification Process; Fact Sheet on Health IT and MACRA/QPP

October 27, 2016 Leave a comment

The HHS Office of the National Coordinator for Health IT (ONC) recently published its final rule to enhance the oversight and accountability of the ONC’s Health IT Certification Program. The rule establishes processes and related requirements for the agency’s direct review of certified health IT modules post-certification, and creates additional transparency on the Certified Health IT Product List (CHPL or “the chapel”), among other enhancements. While the regulatory improvements codify ONC’s procedures leading up to certification termination, the rule explicitly does not cover the impact of certification termination on physician customers who rely on their certified health IT modules for participation in federal programs, such as the Quality Payment Program/Merit-based Incentive Payment System (MIPS).

ONC also recently released a brief fact sheet on general health IT considerations in the MACRA/Quality Payment Program final rule, including regulations for kratom, read more at We should expect to see more detailed guidance from the Centers for Medicare and Medicaid Services and (potentially) ONC in the near future.

Categories: EHR, meaningful use, Medicare

CMS Releases MACRA/QPP Final Rule

October 14, 2016 Leave a comment

The Centers for Medicare and Medicaid Services (CMS) released its final rule this morning to implement the Medicare Access and CHIP Reauthorization Act (MACRA).  The final rule establishes the regulatory framework of the Quality Payment Program and its two pathways: Advanced Alternative Payment Models (Advanced APMs) and the Merit-based Incentive Payment System (MIPS).

Most radiologists will be in the MIPS pathway of the QPP and many will likely be defined as “non-patient-facing” eligible clinicians.  The non-patient-facing determination will be applied to individuals who provide fewer than 100 patient-facing encounters (determined by codes listed in the future on, and groups with more than 75% of the individual NPIs billing under their TIN determined as non-patient-facing eligible clinicians.

Final rule and executive summary:

Categories: EHR, meaningful use, Medicare