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Practice Management

Promoting Interoperability Hardship Exception Deadline 12-31-2020

As part of MIPS reporting for Performance Year, Eligible Providers are required to report under the “Promoting Interoperability” category (formerly known as Advancing Care which was formerly known as EHR(Electronic Health Records). For most hospital-based rehab providers, whose practice is in a free-standing rehab facility (such as Encompass Health), there is probably no capability of using an EHR system which satisfies CMS’ physician requirements – Encompass Health’s system does not meet physician reporting requirements.

In order to avoid losing 25% of points in the MIPS Scoring system, these providers can submit  a very simple Hardship Exception indicating:

-“Lack of Control over the [ . . . ]

Vacation Time for Senior Physiatrists

A physiatrist contacted me today asking about the average number of vacation days for a senior physiatrist. My guesstimate is about 6 weeks. As I said to him, the number of vacation days as a benefit are often negotiable especially when you are a senior physiatrist and not tied to a particular number.
There is not alot of information available on this subject. I couldn’t find any information specific to career level and the number of vacation days. In general across all levels, an article from the August 27, 2018 New England Journal of Medicine says that Paid Time Off benefits [ . . . ]

New Medicare Proposal Would Allow Non-Physician Practitioners to Perform Some Inpatient Work Done by Physiatrists

This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2021. As required by statute, this proposed rule includes the classification and weighting factors for the IRF prospective payment system’s case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2021. We are proposing to adopt the most recent Office of Management and Budget statistical area delineations and apply a 5 percent cap on any wage index decreases compared to FY 2020 in a budget neutral manner. We are also proposing to [ . . . ]

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