Everybody has been holding their breath to see which EHR software will pass the ONC-ATCB (Office of the National Coordinator for Healthcare IT – Authorized Testing & Certification Body) 2011/2012 certification. Some will buy a system based on this information, and others will continue on with their system feeling a great sense of relief that the system they’ve already paid for is now certified. Still others will wonder if their system of choice has applied and failed, or not applied yet. All this and more information is available on the websites of the three companies that have been approved via the Temporary Certification Program for Health Information Technology.
CCHIT and Drummond announced their first group of certified systems October 1, 2010 and InfoGard has yet to make an announcement.
EHR software companies “…are required to provide complete information on the details of their ONC-ATCB 2011/2012 certification, including company and product name and version, date certified, unique product identification number, the criteria for which they are certified, and the clinical quality measures for which they were tested, and any additional software a complete EHR or EHR module relied upon to demonstrate its compliance with a certification criteria,” states the CCHIT website. This information should be available on the product websites, the certifying body website and the ONCHIT website.
As you are reviewing the bolded product names below, notice that the information is split into separate categories for providers and hospitals, is divided based on the company that certified the EHR and is also broken into complete EHRs software versus software modules.
Complete EHRs for Eligible Providers (CCHIT)
ABEL Medical Software, Inc. for ABELMed EHR – EMR/PM, version 11
Allscripts, Allscripts Professional EHR, version 9.2
Aprima Medical Software, Inc. for Aprima, version 2011
athenahealth, Inc. for athenaclinicals, version 10.10
CureMD Corporation for CureMD EHR, version 10
The DocPatientNetwork.com for Doctations, version 2.0
Epic Systems Corporation for EpicCare Ambulatory – Core EMR, version Spring 2008
GE Healthcare for Centricity Advance, version 10.1
gloStream, Inc. for gloEMR, version 6.0
Intuitive Medical Software for UroChartEHR, version 4.0
MCS – Medical Communication Systems, Inc. for iPatientCare, version 4.0
Medical Informatics Engineering for WebChart EHR, version 5.1
meditab Software, Inc. for IMS, version 14.0
NeoDeck Software for NeoMed EHR, version 3.0
NextGen Healthcare for NextGen Ambulatory EHR, version 5.6
Nortec Software Inc for Nortec Ambulatory EHR, version 7.0
Pulse Systems for 2011 Pulse Complete EHR, version 2011
SuccessEHS for SuccessEHS, version 6.0
EHR Modules for Eligible Providers (CCHIT)
Allscripts for Allscripts Peak Practice, version 5.5
eClinicalWorks LLC for eClinicalWorks, version 8.0.48
NexTech Systems, Inc. for NexTech Practice 2011, version 9.7
nextEMR, LLC for nextEMR, LLC, version 126.96.36.199
Sammy Systems for SammyEHR, version 1.1.248
Universal EMR Solutions for Physician’s Solution, version 5.0
Vision Infonet Inc., for MDCare EMR, version 4.2
WellCentive for WellCentive Registry, version 2.0
Complete EHRs for Eligible Providers (Drummond)
ChartLogic, Inc for ChartLogic EMR 7, version not noted
EHR Modules for Eligible Providers (Drummond)
ifa united i-tech Inc. for ifa EMR, modules 170.302.A-J, 170.302.M, 170.302.O-V (specialized to ophthalmology)
QRS INC. for PARADIGM, version 8.3, modules 170.302.A-W, 170.304.A, 170.304.C-J
Complete EHRs for Hospitals (CCHIT)
Epic Systems Corporation for EpicCare Inpatient – Core EMR, version Spring 2008
EHR Modules for Hospitals (CCHIT)
Allscripts for Allscripts ED, version 6.3
Health Care Systems, Inc. for HCS eMR, version 4.0
PeriGen for PeriBirth, version 4.3.50
Prognosis Health Information Systems for ChartAccess, version 4
I have completed my analysis of NCCI version 16.3, including an analysis of the changes from the last quarter release (version 16.2) to the current release. Here are my summary findings:
Currently, for version 16.3, there are 688,013 active edit pairs, meaning that, if the procedure codes listed in column 1 and column 2 were to be billed together by the same physician on the same patient on the same day, it is likely that payment would either be denied or the payment amount would be reduced.
In addition, there are 221,954 terminated edit pairs, which are pairs of codes that at one time were active but under the current version, no longer indicate a restriction of their use as a code pair. For version 6.3, 19,667 new edit pairs have been added to the database while 35 have been terminated, for a net gain of 19,932 new edit pairs. For this version, all have an effective and/or termination date of October 1, 2010 or September 30, 2010.
There were changes to the modifier indicator for 83 edit pairs with 8 going from an indicator of 0 (no modifier allowed) to 1 (modifier allowed) and the remaining 75 going from a modifier indicator of 1 to a modifier indicator of 0.
There are now 1,396 duplicate pairs present in the database, a gain of 20 from version 16.2. Duplicate pairs are edit pairs that were, at one time active, then were terminated and then made active again.
There are also 5,360 swapped edit pairs, which are those that were introduced in one particular order (i.e., column 1 code was 99333 and column 2 code was 92014), terminated and then reintroduced in the opposite order (i.e., column 1 code is now 92014 and column 2 code is now 99333).
I have created a set of worksheets that contain the data associated to this analysis and it is available for immediate download (no charge) at www.frankcohen.com. Click on the Download tab and it should be the second or third link on the page. If you have any questions, feel free to email me at email@example.com. Frank Cohen, MPA, MBB at The Frank Cohen Group, LLC.
NOTE: In the MLN Matters announcing the October edits was also this newsflash:
Get your NEW How to Use the National Correct Coding Initiative (NCCI) Tools booklet from the MLN and learn how to navigate the CMS NCCI website. This new MLN product explains how to look up Medicare code pair edits and Medically Unlikely Edits (MUEs). NCCI tools can help providers avoid coding and billing errors and subsequent payment denials. If you want to become familiar with the “National Correct Coding Initiative Policy Manual for Medicare Services” and the tools on the NCCI website, this is your best resource! Click here to download a pdf of the booklet.