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lang=EN-US link="#17488A" vlink="#17488A" style='tab-interval:.5in'> <div class=WordSection1> <p class=MsoNormal><o:p>&nbsp;</o:p></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;background:#EEEEEE;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td valign=top style='padding:7.5pt 7.5pt 7.5pt 7.5pt'> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=600 style='width:6.25in;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td style='padding:0in 0in 0in 0in'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=600 style='width:6.25in;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td style='background:#EEEEEE;padding:0in 0in 0in 0in'></td> </tr> <tr style='mso-yfti-irow:1;mso-yfti-lastrow:yes'> <td style='background:white;padding:0in 0in 0in 0in'> <p class=MsoNormal align=center style='text-align:center'><span style='font-size:22.5pt;font-family:"Helvetica","sans-serif";color:#333333; mso-no-proof:yes'><img width=600 height=250 id="_x0000_i1026" src="http://gallery.mailchimp.com/fdd3808e57ff08796a520b999/images/image_13178596567271317859658.jpg" alt="Description: http://gallery.mailchimp.com/fdd3808e57ff08796a520b999/images/image_13178596567271317859658.jpg"></span><span style='font-size:22.5pt;font-family:"Helvetica","sans-serif";color:#333333'><o:p></o:p></span></p> </td> </tr> </table> <p class=MsoNormal><span style='display:none;mso-hide:all'><o:p>&nbsp;</o:p></span></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=600 style='width:6.25in;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width=371 valign=top style='width:278.6pt;background:white; padding:15.0pt 15.0pt 15.0pt 15.0pt'> <p style='line-height:150%'><strong><span style='font-size:13.5pt; line-height:150%;font-family:"Arial","sans-serif";color:darkorange'>2011 Recap, Meaningful Use and More</span></strong><span style='font-size: 9.0pt;line-height:150%;font-family:"Arial","sans-serif";color:black'><br> <br> Let me begin by wishing all our customers and readers a happy and safe 2012! It is hard to believe but the year is over. And, here on the east coast this is perhaps the first real winter week! &nbsp;Still no sign of snow though!&nbsp;<br> <br> There were exciting developments in 2011 that&nbsp;we believe will gather more steam in 2012, and, will change the acute care landscape forever. Aggressive EHR adoption is one such trend. And, adoption of mobile technologies is another one that comes to mind. May be iPad was the much needed catalyst <span class=GramE>that &nbsp;propelled</span> adoption of mobile technologies in clinical market segment! &nbsp;We will also see HIE-related developments getting traction in few states across the country this year.&nbsp;</span><span style='font-size:9.0pt;line-height: 150%;font-family:"Helvetica","sans-serif";color:black'><br> <br> </span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; color:black'>Few more developments:&nbsp;<br> <br> </span><strong><span style='font-size:10.5pt;line-height:150%;font-family: "Arial","sans-serif";color:mediumblue'>Stage 2 of Meaningful Use Moved to 2014</span></strong><span style='font-size:9.0pt;line-height:150%; font-family:"Arial","sans-serif";color:black'><br> <br> The Department of Health and Human Services has moved the start date of Stage 2 of the EHR Meaningful Use Program from 2013 to 2014.&nbsp;&nbsp;</span><span style='font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-serif"; color:black'>Federal officials supported a proposal to delay Stage 2 by one year to 2014 for providers who attested to Stage 1 in 2011. &nbsp;The rationale being that Stage 1 adopters who attest in 2011 should not be penalized by tight timeframes set up to be ready for Stage 2. &nbsp;With the proposal adopted, providers who begin Stage 1 attestation in 2012 could wait until 2014 to start Stage 2 in 2014. &nbsp;Early adopter providers or pioneers in 2011 can still benefit more by getting three years of Stage 1 incentive payments!<br> <br> The Meaningful Use payments for Medicare and Medicaid programs continue to grow as well. Through November 2011, Medicare and Medicaid have each paid nearly $1 billion in electronic health records meaningful use incentive payments during the first year of the program. Medicare paid $920.3 million and Medicaid paid an estimated $916 million (Source: Centers for Medicare and Medicaid Services). &nbsp;Further, Medicare meaningful use payments have gone to 10,155 eligible professionals, 34 Medicare-only hospitals, and 377 Medicare and Medicaid hospitals. Medicaid meaningful use payments have gone to 11,270 eligible professionals and 800 hospitals.<o:p></o:p></span></p> <p style='line-height:150%'><span style='font-size:9.0pt;line-height: 150%;font-family:"Arial","sans-serif";color:black'>For latest on Meaningful Use:&nbsp;<a href="http://medofficepro.us2.list-manage.com/track/click?u=fdd3808e57ff08796a520b999&amp;id=dbb84c8957&amp;e=2ab24cd2fc">http://www.cms.gov/EHRIncentivePrograms/</a>&nbsp;</span><span style='font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-serif"; color:black'><o:p></o:p></span></p> <p class=MsoNormal style='line-height:150%'><strong><span style='font-size:10.5pt;line-height:150%;font-family:"Arial","sans-serif"; color:mediumblue'>Better Claim Processing for Providers and Insurers</span></strong><span style='font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-serif"; color:black'><br> <br> By some experts' estimates, Physicians spend about 12 percent of every dollar received to cover the administrative complexity <span class=GramE>( read</span> forms and paperwork!). Department of Health and Human Services is working on a rule that will require insurers to use standardized electronic formats when communicating with <span class=SpellE>Phsycians</span>. &nbsp;The eureka moment here (or great hope<span class=GramE>) &nbsp;is</span> that physicians will be able to use one type of <span class=SpellE>informaiton</span> request for all insurers to determine whether a patient is eligible for coverage status of the claim submitted to the insurer. &nbsp;According to the HHS statement, a uniform claims processing system could save four hours per physician per week by eliminating unnecessary claims paperwork and phone calls with insurers to verify and check a claim s status. The rule also proposes to lessen the amount of denied claims for physicians.&nbsp; <o:p></o:p></span></p> <div> <p class=MsoNormal style='line-height:150%'><span style='font-size:9.0pt; line-height:150%;font-family:"Helvetica","sans-serif";color:black'>&nbsp;<o:p></o:p></span></p> </div> <div> <p class=MsoNormal style='line-height:150%'><span style='font-size:9.0pt; line-height:150%;font-family:"Helvetica","sans-serif";color:black'>Under the proposal, health plans, healthcare clearinghouses and health providers will need to comply with the final rule by January 1, 2013. HHS estimates that overall, the rule will save an estimated $12 billion over the next decade for physicians and insurers.<br> <br> For more: &nbsp;</span><span style='font-size:9.0pt;line-height:150%; font-family:"Helvetica","sans-serif";color:mediumblue'><a href="http://www.hhs.gov/policies/index.html">http://www.hhs.gov/policies/index.html</a></span><span style='font-size:9.0pt;line-height:150%;font-family:"Helvetica","sans-serif"; color:black'><o:p></o:p></span></p> </div> <p class=MsoNormal style='line-height:150%'><span style='font-size:9.0pt; line-height:150%;font-family:"Helvetica","sans-serif";color:black'><br> </span><strong><span style='font-size:10.5pt;line-height:150%;font-family: "Arial","sans-serif";color:mediumblue'>CMS Issues Final Medicare e-Prescribing Rule&nbsp;</span></strong><span style='font-size:9.0pt; line-height:150%;font-family:"Helvetica","sans-serif";color:black'><br> <br> The Centers for Medicare and Medicaid Services has issued a final rule making changes to Medicare's Electronic Prescribing Incentive program. The rule was published in the Federal Register on Sept. 6, 2011.</span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; color:black'>&nbsp;</span><span style='font-size:9.0pt;line-height:150%; font-family:"Helvetica","sans-serif";color:black'>CMS has finalized a proposal to better align the <span class=SpellE>eRx</span> Incentive program with the electronic health record meaningful use incentive program. Under the final rule, EHRs that have received meaningful use certification are deemed to qualify for the <span class=SpellE>eRx</span> Incentive program. The new rule also talks about providers to get a &quot;hardship exemption&quot; from the <span class=SpellE>eRx</span> program to avoid reimbursement penalties for non-participation. For instance, an eligible professional who has registered to participate in the Medicare or Medicaid EHR incentive programs and has adopted certified EHR technology can request a hardship exemption from the <span class=SpellE>eRx</span> program. <o:p></o:p></span></p> <div> <p class=MsoNormal style='line-height:150%'><span style='font-size:9.0pt; line-height:150%;font-family:"Helvetica","sans-serif";color:black'><br> The deadline for submitting hardship exemption requests, detailed in the final rule was Nov. 1, 2011.<o:p></o:p></span></p> </div> </td> <td width=229 valign=top style='width:171.4pt;border:none;border-left: solid #DDDDDD 1.0pt;background:white;padding:15.0pt 15.0pt 15.0pt 15.0pt'> <div> <h4 style='line-height:150%'><span style='font-size:13.5pt;line-height: 150%;font-family:"Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:darkorange'>Industry Buzz . . <span class=GramE>.</span></span><span style='font-family:"Helvetica","sans-serif";mso-fareast-font-family:"Times New Roman"; color:#666666'><br> <br> </span><strong><span style='font-size:9.0pt;line-height:150%;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:mediumblue'>1. Cloud-based Computing: It is the Future!</span></strong><span style='font-family:"Helvetica","sans-serif";mso-fareast-font-family:"Times New Roman"; color:#666666'><o:p></o:p></span></h4> <p style='line-height:150%'><span style='font-size:9.0pt;line-height: 150%;font-family:"Arial","sans-serif";color:black'>Of course the popular argument for using cloud-based software (or more commonly known as (Software-as-a-Service) has been cost savings. Everyone knows buying hardware and software upgrades for multiple office locations is always expensive. In the healthcare world it is <span class=GramE>more true</span> due to the fact that compliance standards, billing codes, reimbursement rates change frequently. And, any software solution needs to comply with changes all the time- no exceptions. A cloud-based system takes care of changes without any <span class=SpellE>additioonal</span> efforts for clinicians. <span class=SpellE>MedOfficePro's</span> EMR and Practice Management system is a cloud-based solution.&nbsp; Other advantages include data <span class=SpellE>back up</span> and storage. Software solutions where servers and hardware run on site require dedicated IT staff and Tier 1 datacenter infrastructure too.&nbsp; Again, this is a huge challenge for practices unlike hospitals.&nbsp; It costs money and time. Today, higher reliability and savings is achievable in a cloud-based environment at a fraction of a cost.&nbsp;</span><span style='font-size:8.5pt;line-height:150%;font-family:"Helvetica","sans-serif"; color:#666666'><o:p></o:p></span></p> <p style='line-height:150%'><span style='font-size:9.0pt;line-height: 150%;font-family:"Arial","sans-serif";color:black'>Practices switching to a Cloud-based software need to ensure a high-speed Internet connectivity and on-demand IT support in case Internet is down. An Internet breakdown can bring the complete operation to a standstill. This is typically the main argument for folks who are resistant to switch to a cloud-based system.&nbsp; Also, starting with a cloud-based system can be sometimes an issue due to higher start up and set up costs. But the long term benefits are there to stay. If anything, Internet connectivity is only getting better and reliable. Costs are always coming down.&nbsp; With 4G wireless networks around the corner, many believe a high speed wireless connectivity can be the <span class=SpellE>back up</span> in case Internet goes down.&nbsp;(<span class=SpellE>MedOfficePro</span> use <span class=SpellE>AdvancedMD</span> platform - a cloud-based solution.&nbsp; </span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; color:#666666'><a href="http://medofficepro.us2.list-manage.com/track/click?u=fdd3808e57ff08796a520b999&amp;id=a619b397ff&amp;e=2ab24cd2fc"><span style='color:black'>www.advancedmd.com</span></a></span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; color:black'>)</span><span style='font-size:8.5pt;line-height:150%; font-family:"Helvetica","sans-serif";color:#666666'><o:p></o:p></span></p> <p style='line-height:150%'><strong><span style='font-size:9.0pt; line-height:150%;font-family:"Arial","sans-serif";color:mediumblue'>2. More Vendors get <span class=SpellE>certifed</span> for <span class=SpellE>Meanigful</span> Use</span></strong><span style='font-size: 8.5pt;line-height:150%;font-family:"Helvetica","sans-serif";color:#666666'><br> <br> </span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; color:black'>The number of <span class=GramE>vendors</span> <span class=SpellE>certifed</span> for Meaningful Use continues to grow. We found 5 more joining the list in last few months. They are<span class=GramE>:</span><br> <span class=SpellE>i</span>. ADS Technologies Supra, version 4.0 (Complete EHR)<br> ii. <span class=SpellE>Virco</span> Lab s AVIGA for HIV/AIDS care, version 1.0 (EHR Module<span class=GramE>)</span><br> iii. IOD Incorporated s PRISM release of information software, version 6.0 (EHR Module<span class=GramE>)</span><br> iv. Streamline Health s <span class=SpellE>AccessAnyWare</span> HIM software<br> version 1.9 (as EHR Module)<br> v. Hyland Software s <span class=SpellE>OnBase</span> HIM software, version 11.0, (as an EHR Module)</span><span style='font-size:8.5pt; line-height:150%;font-family:"Helvetica","sans-serif";color:#666666'><o:p></o:p></span></p> <p style='line-height:150%'><span style='font-size:9.0pt;line-height: 150%;font-family:"Arial","sans-serif";color:black'>The complete federal list of certified inpatient and ambulatory products is available at </span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; color:#666666'><a href="http://medofficepro.us2.list-manage.com/track/click?u=fdd3808e57ff08796a520b999&amp;id=1044dfd080&amp;e=2ab24cd2fc"><span style='color:black'>http://onc-chpl.force.com/ehrcert</span></a></span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; color:black'>.</span><span style='font-size:8.5pt;line-height:150%; font-family:"Helvetica","sans-serif";color:#666666'><br> <br> </span><strong><span style='font-size:9.0pt;line-height:150%;font-family: "Arial","sans-serif";color:mediumblue'>3. Google to Discontinue Online Health Service</span></strong><span style='font-size:8.5pt;line-height: 150%;font-family:"Helvetica","sans-serif";color:#666666'><o:p></o:p></span></p> <p class=MsoNormal style='line-height:150%'><span style='font-size:9.0pt; line-height:150%;font-family:"Arial","sans-serif";color:black'>Due to poor adoption by consumers, Google has finally decided to close its Google Health Online Service.&nbsp; Google Health Online had created a lot of buzz and included a personal health record and related health <span class=SpellE>welness</span> tools.&nbsp; The service will be retired after Jan 1, 2012. Consumers (Users) will be able to get their Google health data till Jan. 1 2013.</span><span style='font-size:8.5pt; line-height:150%;font-family:"Helvetica","sans-serif";color:#666666'><o:p></o:p></span></p> <h4 style='line-height:150%'><span style='font-family:"Helvetica","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#666666'>&nbsp;<o:p></o:p></span></h4> <p class=MsoNormal style='margin-bottom:12.0pt;line-height:150%'><span style='font-size:8.5pt;line-height:150%;font-family:"Helvetica","sans-serif"; color:#666666'><o:p>&nbsp;</o:p></span></p> <p style='line-height:150%'><span style='font-size:8.5pt;line-height: 150%;font-family:"Helvetica","sans-serif";color:#666666'><br> <br> <br> <br> &nbsp;<o:p></o:p></span></p> </div> </td> </tr> </table> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> </tr> </table> </div> </td> </tr> </table> <p class=MsoNormal><span style='mso-no-proof:yes'><img border=0 width=1 height=1 id="_x0000_i1025" src="http://medofficepro.us2.list-manage.com/track/open.php?u=fdd3808e57ff08796a520b999&amp;id=723b35575f&amp;e=2ab24cd2fc" alt="Description: http://medofficepro.us2.list-manage.com/track/open.php?u=fdd3808e57ff08796a520b999&amp;id=723b35575f&amp;e=2ab24cd2fc"></span></p> </div> </body> </html>