Healthcare

Grassi & Co. offers accounting and business consulting services for the Healthcare industry throughout the New York Metro area, including NYC, New Jersey, Long Island, Connecticut, and Pennsylvania. Read our Healthcare blog posts to learn more about Healthcare accounting in New York.

NYSDOH Seeks Input on Next Statewide Health Transformation Funding Opportunity

This week, the awardees of the 2016 Statewide Health Facility Transformation Funding Opportunity were announced.  Our team at Grassi successfully assisted several clients with the application, with one award for $1.4 million for expansion of primary care services and one for $1.6 million for development of a bariatric care resource in a skilled nursing facility. NYSDOH is seeking input for the next request for proposals, as explained in the attached letter.  We encourage our clients to participate and make such comments. Our experience has shown that the best chance of success with these RFPs is to have projects already developed and “on the shelf” ready to be polished to meet the specific RFP requirements when they are issued.  If you would like to meet to discuss our approach to this and perhaps brainstorm on some ideas, please call Joe Tomaino at 212-223-5020. To view the State’s Input Letter, click...

Be Prepared for Medicare MBI!

As a part of the MACRA 2015, CMS is required to remove the Social Security number or SSN from Medicare cards by April 2019.      New Medicare Beneficiary Identifier (MBI) will replace the SSN. Be prepared! CMS is currently working with all parties that use the current Medicare ID number to advise and initiate this change. Medicare recipients will begin to receive new Medicare ID cards in the spring of next year and all recipients should have received a new card by the end of December 2018. The new ID numbers will be random, 11 character-in- length, made up numbers and upper case letters. The suffixes that currently identify the primary individual or “source” e.g. husband, parent, self-disabled, will no longer be used. Make sure that your patients and staff are aware of these pending changes. Reach out to vendors or other parties you are affiliated with who are receiving or using Medicare ID information to be sure they are aware of the changes and will be ready.  The local Part B Medicare MAC for New York State and Connecticut, NGS Medicare, will be keeping providers updated on the transition progress. If you are a Medicare provider, you or your staff should be sure to be enrolled in the NGS listserv for continuing updates. For more information, contact Stephanie Fiedler, Director for Healthcare Advisory Services at Grassi & Co., at...

E-Alert: Technical Assistance for Development of Behavioral Health Care Collaborative (BHCC)

For behavioral health providers preparing themselves for value based payment (VBP), New York State, in collaboration with OASAS and OMH, is offering an opportunity for planning funding for this effort.  Notification of interest for participation in this program, originally due on June 5, are now due on June 16th. While this notification is non-binding, it’s required for all applicants. The notification is completed by the lead community based (non-hospital) agency of a behavioral health care collaborative (BHCC), which will represent multiple providers.  The program will fund behavioral health providers to come together in a BHCC. This funding will be available for planning and implementation, to support the development of shared infrastructure. BHCCs will share clinical quality standards, data collection, analytics, and reporting, to improve care quality and enhance their value in VBP arrangements. If you need additional information or if you need assistance developing your network and completing the application which is due later this summer, please contact Joseph Tomaino, Principal, Healthcare Transformation Consulting, jtomaino@grassicpas.com, or call at...

MACRA, You still have time to avoid a penalty!

Providers only have until October to start reporting under MACRA to avoid a penalty. If you are NOT a Medicare Freshman and ARE an MD, DO, DPM, NP, PA, DC, OD, CNS, OD, CRNA, DDS, DMD and billed more than 30K in Medicare Part B allowable charges per year OR saw more than 100 Medicare patients between 9/1/2017 and 8/31/2016, you must participate in MACRA in 2016 or be subject to a payment reduction in 2019. You must have at least 3 consecutive months of data reporting this year in order to avoid the 2019 -4% payment reduction. What is MACRA? MACRA is the Medicare Access and CHIP Reauthorization Act of 2015. MACRA may completely change healthcare in the United States. Now that the sustainable growth (SGR) rate has been repealed, the formula used for physician reimbursement and payment purposes must change. MACRA is the new basis for all Medicare payment updates. Beginning in 2019, payment updates will reflect efficacy and proficiency, instead of volume. Various measures of efficiency and quality will evaluate a provider’s performance, and earnings will depend on these metrics. If you don’t participate now, you will get a reimbursement reduction in 2019! Under MACRA there are two new methods of reimbursement: Medicare Incentive Payment System (MIPS) and; Alternative Payment Models (APM) Providers will earn payment updates under one of these systems or methods which provide funding to benefactors for technical aid provided to physicians; and it provide capital for research, development, and testing of new APMs. MIPS is a merit based system which merges together parts of three current incentive programs (below) and adds Improvement Activities....

New Law Allows New York Clinics to Provide Primary Medical Care Off-Site

A new provision of the Public Health Law §2803(11) recently signed into law permits Article 28 hospital outpatient clinics (clinic) and diagnostic and treatment centers (D&TC) to provide primary care services off-site for patients who are unable to travel to the facility. This new provision is similar in nature to the CMS regulation for home visits (not home care). This new provision authorizes the Commissioner of the DOH to allow clinics and D&TCs to provide primary care services: that are ordinarily provided on-site; that are provided by a primary care professional to a patient who has a pre-existing clinical relationship with the clinic or D&TC or with the health care professional providing the service; and that are provided to a patient who is unable to leave his or her residence to receive services at the clinic or D&TC without unreasonable difficulty due to circumstances including but not limited to clinical impairment. The new law allows the clinics and D&TCs to maintain continuity of care with existing patients who, because of a deterioration in their health, are unable to travel to the facility for primary care services. The facilities would be able, for example, to send a primary care physician to a patient’s home, assisted living residence, or nursing home to continue caring for the patient, including diagnosing any new medical problem, adjusting medications, and reviewing and revising the patient’s plan of care. The new law specifically does not authorize clinics or D&TCs to provide home care services as defined in Public Health Law §3602(1), but essentially replaces the Clinic or D&TC primary care visit with his or her primary care...

Telehealth Services

The recent bill passed in NYS, S3293 amends subdivision 3 of section 2999-cc of the public health law by expanding Telehealth services for children. The expansion authorizes the delivery of Telehealth services at any public, private school or charter elementary or secondary school, or child care program or center within the state by allowing these sites to be included in the definition of originating sites for the delivery of primary care services to young children without leaving the school or care setting. The regulation is effective immediately and is a welcomed enhancement to a comprehensive care delivery system in NYS. For more information regarding this bill, contact Stephanie Fiedler,  Director for Healthcare Advisory Services, at...