Washington ACEP News
Comment on ACEP Quality Measures for CEDR by 5 pm CST Aug. 21
ACEP developed the Clinical Emergency Data Registry (CEDR), which was deemed by the Center for Medicaid and Medicare Services (CMS) as a qualified clinical data registry (QCDR) for the 2015 performance year. A robust set of measures is incorporated in the registry to “promote evidence-based medicine and address gaps in care around emergency medicine.” Read more and comment here.
ICD-10 Assistance for Physicians
The AMA and Centers for Medicare & Medicaid Services have jointly announced new efforts to assist physicians preparing for the Oct. 1 deadline to switch from ICD-9 to ICD-10 coding for Medicare Part B (fee-for-service) claims. Details include:
- For a one-year period starting Oct. 1, Medicare Administrative Contractors and Recovery Audit Contractors will neither deny nor audit Medicare Part B claims solely on the specificity of the ICD-10 diagnosis codes provided, as long as the ICD-10 code submitted by the physician belongs to an appropriate family of codes.
- To avoid potential problems with mid-year coding changes in the Physician Quality Reporting System and the Value-Based Modifier and Meaningful Use programs for the 2015 reporting year, CMS will not penalize physicians using the appropriate family of diagnosis codes if the agency experiences difficulties in accurately calculating quality scores. CMS will continue to monitor implementation and will adjust the duration if needed.
- CMS will establish an ICD-10 ombudsman to help receive and triage physician and provider problems that need to be resolved during the transition to the new code set.
- CMS will authorize advanced payments if Medicare contractors are unable to process claims within established time limits due to problems with ICD-10 implementation.
Also, OneHealthPort has advised that Washington state health plans are now or will be required to submit pre-authorizations for services to be performed on or after Oct. 1 using ICD-10 codes and/or descriptions. View the payer-specific chart at OneHealthPort’s Countdown to ICD-10 Web page.
Other ICD-10 news and resources:
- Health Care Authority: ICD-10 end-to-end testing
- Free ICD-10 interactive charts
- The WSMA Coding Hotline.
ED Directors: The 2015 WA-ACEP Emergency Medicine Leadership Summit is Nov. 4
State Supreme Court Halts Effort to Expand Certificate of Need
The Washington State Supreme Court agreed with a WA-ACEP-supported amicus brief challenging the Department of Health’s rule expanding the reach of the Certificate of Need (CON) review program. The court decided unanimously July 9 that the Department of Health exceeded its scope of authority with the 2013 rule that would have dramatically expanded the purview of the CON in Washington State. The amicus brief, submitted by the Washington State Medical Association with financial support from WA-ACEP, expressed concern that the rule might require a CON review for arrangements such as new agreements between physicians and medical practices with hospitals, exclusive contracts between physician specialty groups and hospitals, and any other type of joint services agreements with hospitals.
MERS Resources Now Available
The ACEP Epidemic Expert Panel has created a fact sheet about Middle East Respiratory Syndrome (MERS), as well as compiled other useful resources for emergency physicians. MERS is a potential severe illness that should be considered in patients presenting with symptoms of a respiratory illness who satisfy certain travel/exposure criteria. Find the resources at www.acep.org/MERS.
Enguidanos to Receive ACEP’s Horizon Award
Enrique Enguidanos, MD, FACEP received the American College of Emergency Medicine’s 2015 Horizon Award for outstanding contributions and participation in ACEP Council activities within the first five years of Council Service. Enrique has rapidly embraced the spirit and conduct of the ACEP Council process, and emerged as an active, respected, and effective leader within the Council. After being introduced to and observing the ACEP Council in 2012, Enrique took a more active role. First, as President Elect of the Washington Chapter of ACEP (WA-ACEP), he was a principal host of the 2013 ACEP Council Meeting in Seattle, the most successful and attended ACEP conference in the organization’s history. He co-sponsored an adopted resolution on health information exchanges and testified on the creation and funding of a national prescription monitoring program. In 2014 as President of WA-ACEP, he organized and coordinated the Washington State delegation that included a record number of new Alternate and Councillors who testified on eight resolutions. Under his guidance, WA-ACEP sponsored a record number of resolutions, all of which were adopted. Because of Enrique’s Council involvement, WA-ACEP’s level of attendance, participation, contribution, and leadership in the ACEP Council has never been greater or more respected. Enrique is currently the Immediate Past President of WA-ACEP, Co-Chair of the Providence Health Systems Emergency Services Clinical Decisions Team. He has been practicing Emergency Medicine at Providence Regional Medicine Center in Everett for more than 15 years. He has served as the ED Medical Director at PRMCE as well as Chief of Staff. Enrique will receive the award during ACEP15 in Boston Oct. 25
Wayne Recognized at Summit to Sound
WA-ACEP presented Marv Wayne, MD, FACEP, FAAEM, FAHA with the 2015 Nancy Auer Meritorious Achievement Award April 23 during the Summit to Sound meeting. Read more
2015 Guardian of Emergency Medicine Awards
Reporters Carol Ostrom of The Seattle Times and Sean Robinson from Tacoma News Tribune received the WA-ACEP Guardian of Emergency Medicine Award April 24 for their work highlighting issues faced by emergency medicine practitioners and patients. Read more
By WA-ACEP President Enrique Enguidanos, MD, FACEP; and WA-ACEP Secretary/Treasurer Nathan Schlicher, MD, JD, FACEP – Emergency Medicine News Feb 2015
ACEP Develops Measles Fact Sheet, Resource Page
The United States has experienced a record number of measles cases (Rubeola) in 2014 (more than 600 patients), which is the greatest number in more than 14 years. This virus represents a challenge to Emergency Medicine because it is highly infectious and has been rarely seen in Emergency Departments in the recent past. ACEP developed a Fact Sheet about this disease for a review of its presentation, clinical course and implications for your Emergency Department. Visit acep.org/measles for more information and for new resources added as needed.