SCG Health News

Follow @jsearfoss for daily news clips. Find in-depth analysis of hot issues on the SCGhealth blog. Check out our recent posts:

  1. DOJ to Join Mega-Lawsuit Alleging Opioid Manufacturers Misled Physicians Audrey Landers 19-Mar-2018
  2. Is Your EHR Causing Legal and Financial Headaches? Don’t Expect Your Vendor to Bail You Out Audrey Landers 14-Mar-2018
  3. The Obesity Epidemic and the Issues that Surround It Audrey Landers 07-Mar-2018
  4. 6 Ways One Employer Cut Their Medical Assistant Turnover Rate In Half Audrey Landers 05-Mar-2018
  5. OIG to CMS: We’re Worried About How You Review Extrapolation Audrey Landers 26-Feb-2018

SCG Health Responds to “Putting America’s Health First FY2019 President’s Budget for HHS”

The Trump administration released its budget proposal for FY2019 on February 12, 2018. SCG Health takes issue with the prospect of quality assessment returning to a model based solely on claims data and patient surveys. The prior program, Value Based.. Read More

SCG Health Submits Comments on MIPS Rule

SCG Health Comments on the Final MIPS 2018 Rule The SCG Health team submitted comments reflecting the state of healthcare quality reporting from the perspective of a Qualified Clinical Data Registry and support organization for clinicians acros.. Read More

Searfoss quoted about 2017 deductibles and cash flow

A new year means new patient deductibles — some of them enormous. And if you wait until January to get ready for patients with unmet deductibles, you’ll take a cashflow hit. SCG Health founder and Chief Solutions Strategist Jennifer S.. Read More

QRUR attribution explained by Searfoss

CMS’ patient-attribution methodology has caught specialists off guard when the conditions used to calculate cost of care under the Quality Resource Use Report (QRUR). From the article: "However, patient attribution is based on where th.. Read More

Searfoss quoted about informal reviews for PQRS/VBM

Just prior to the implementation of physician and/or practice payment reductions, the Centers for Medicare & Medicaid Services (CMS) gives every eligible practitioner an opportunity to review their data and appeal the payment reduction determ.. Read More

Incident-to plan of care explained by Searfoss

Incident to billing is a Medicare concept well explained by SCG Health (/features/incident-to). But there are still questions. Jen Searfoss, founder of SCG Health and Chief Solutions Strategist explains a notable area about plan of care. From.. Read More

Searfoss quoted in MIPS story by Part B News

The Merit-based Incentive Payment System (MIPS) starts January 1 for Medicare physician payment reform. Jen Searfoss, SCG Health's Chief Solutions Strategist and Founder talked with Roy Edroso at Part B News about the coming reimbursement system .. Read More

Press Release: SCG Health Submits A Bill You Can Understand

Ashburn, VA – Efficient and effective patient communications are more than just a convenience. They establish patient trust and contribute to a positive relationship for all organizations surrounding the beneficiary. Patient medical bills s.. Read More

Summertime quality reporting checkup story in VBPmonitor

Our founder, Jen Searfoss, was a featured story in VBPmonitor on July 26, 2016 with three summertime to-dos for a successful value based year. "[S]everal things we know for sure: with the exception of meaningful use, the changes won’t g.. Read More

Searfoss provides guidance on temp physicians (Part B News)

Locum tenens is a Medicare billing concept that allows physicians to fill-in when another physician is out of the office for a prolonged period (60 days). Jen Searfoss, SCG Health's Chief Solutions Strategist and Founder talked with Roy Edroso at.. Read More

Press Release: SCG Health Announces Registries & Company Alignment

July 19, 2016 Ashburn, VA – Federal healthcare reform under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) shifts the entire Medicare Part B program away from a volume-based payment system to a new model focused on value t.. Read More

SCG Health submits comments on the proposed MACRA payment models

SCG Health submitted formal comments to the Centers for Medicare & Medicaid Services (CMS) on the proposed rule regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) implementation of Merit-Based Incentive Payment System .. Read More

Searfoss tips for mid-year PQRS check up (DecisionHealth)

Jen Searfoss, Chief Solutions Strategist, was quoted in Part B News on a mid-year checkup for Medicare PQRS reporting. To avoid the pay cut, at least 50% of the eligible providers – doctors and non-physician practitioners (NPPs) –.. Read More

Searfoss talks price transparency with Part B News

Jen Searfoss, SCG Health's Chief Solutions Strategist and Founder talked with Part B News about how to approach patients about their out-of-pocket costs at the point of service and even before their visit. From the article: "Get prepared to t.. Read More

Take on MIPS and PQRS from Searfoss (DecisionHealth)

Jen Searfoss, SCG Health's Chief Solutions Strategist and Founder, spoke with Part B News about the proposed Medicare Merit-Based Incentive Payment System (MIPS) and the current Physician Quality Reporting System (PQRS) and its impact on physicia.. Read More

Searfoss quoted on infection control (DecisionHealth)

“A lot of physicians still use white coats, but the office, to save money, is not doing laundry anymore,” says Jennifer Searfoss, CEO of SCG Health, a health care consulting firm based in Ashburn, Va. “People think about cost-cu.. Read More

Searfoss quoted about 2016 PQRS registry reporting (DecisionHealth)

Currently the majority of providers who participate in the physician quality reporting system (PQRS) program use claims-based reporting, according to the 2016 Medicare physician fee schedule. The key advantage of claims-based reporting is it's fr.. Read More

Searfoss Reimbursement Reform article in VBP Monitor

Earlier this month, a joint health plan consortium released a set of quality measures intended to serve all payors. Covering primary care and certain high-expense specialties, the measures are intended to "reduce, refine, and relate" measures for.. Read More

Searfoss quoted about incomplete LCDs triggering denials and delays (DecisionHealth)

"The problems people expected Oct. 1 are actually happening now," explains consultant Jennifer Searfoss, CEO of SCG Health in Ashburn, Va. That’s because payers delayed until now turning on claims-processing software to enforce their local .. Read More

SCG Health submits comments on eCQM process

SCG Health submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the Certification Frequency and Requirements for the Reporting of Quality Measures Under CMS Programs. Read our full comments submitted on February 16, 201.. Read More

Searfoss quoted in Registry Reporting may be a lifeline (DecisionHealth)

If your practice is participating in meaningful use, determine whether the electronic clinical quality measures (eCQM) you’re using for attestation also apply to your PQRS efforts. Your deadline for reporting via EHR is Feb. 29, and you sho.. Read More

Searfoss quoted about 2015 PQRS reporting (DecisionHealth)

Remember that physician quality reporting system (PQRS) success is based on reporting, not performance. The challenge for practices will be to gather the data and get it to the vendor in the correct format and in a timely fashion, says Jen Searfo.. Read More

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