#KareoChat Transcript

Healthcare social media transcript of the #KareoChat hashtag.
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See #KareoChat Influencers/Analytics.

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Tebra @TebraOfficial
Welcome to #KareoChat with your host, @ShereesePubHlth! Today we'll talk #MACRA rule changes and their potential impact on #SmallPractices. We look forward to hearing from each of you! #healthcare https://t.co/DaqFXyLEe7
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Hello all. I'm Shereese, here in Maryland. Don't mind me, I'm just getting set up for this #kareochat https://t.co/83e6gWKkGx
CP Nerve Center @Cpnervecenter
@ShereesePubHlth Mighty big Latte! Caffeine Buzzzzzz...... #kareochat
HealthcareNOWradio @HCNowRadio
RT @HITECHAnswers: Join #KareoChat for #healthcare experts/industry leaders hosted by @drtom_kareo TODAY & every Thursday at noon ET https://t.co/g6YBJngCIA
Tebra @TebraOfficial
Q1: Let's start with some positivity: What are some #MACRA advantages /allowances for #SmallPractices? @ShereesePubHlth #KareoChat #healthcare #physicians #MIPS #HealthIT #Medicare
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @GoKareo: Q1: Let's start with some positivity: Q1: Let's start with some positivity: What are some #MACRA advantages /allowances for #SmallPractices? @ShereesePubHlth #KareoChat #healthcare #physicians #MIPS #HealthIT #Medicare
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A1 There are some allowances that are impacting providers. Ex. Small providers impacted by H.I.M. hurricanes. There's a hardship exemption #KareoChat
Tebra @TebraOfficial
RT @ShereesePubHlth: A1 There are some allowances that are impacting providers. Ex. Small providers impacted by H.I.M. hurricanes. There's a hardship exemption #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A1- Also, there's an allowance to use 2014/2015 versions of #EHR tech in yr 2 but I'm not a fan of this. There's a 10% bonus for CEHRT (15) #kareochat
Tebra @TebraOfficial
RT @ShereesePubHlth: A1- Also, there's an allowance to use 2014/2015 versions of #EHR tech in yr 2 but I'm not a fan of this. There's a 10% bonus for CEHRT (15) #kareochat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A1- Small practices really should use most current models. You can never go backwards to proceed forward & optimize revenues #KareoChat
Tebra @TebraOfficial
A1: What about more support for remote patient monitoring? @ShereesePubHlth #KareoChat
Tebra @TebraOfficial
RT @ShereesePubHlth: A1- Small practices really should use most current models. You can never go backwards to proceed forward & optimize revenues #KareoChat
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
Chuck! (out of breath...) here for #Kareochat I'm not a big fan of #MACRA, so likely will not have much to say, however, I love the weekly #KareoChat, and greatly appreciate @ShereesePubHlth & @CoherenceMed #HTreads tweet chat initiative, so am here 4 enthusiastic moral support!
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@GoKareo That's a huge win but only if small practices have the capability to expand those offerings. #KareoChat
Tebra @TebraOfficial
Q2: How can smaller practices avoid the (MIPS) 4% penalty based on performance. Are there risk management tools? @ShereesePubHlth #KareoChat #MIPS #MACRA #healthcare
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@wareFLO @CoherenceMed Oh there are some workflow issues w/ MACRA-affected practices. You have lots to say. #KareoChat
CP Nerve Center @Cpnervecenter
RT @wareFLO: Chuck! (out of breath...) here for #Kareochat I'm not a big fan of #MACRA, so likely will not have much to say, however, I love the weekly #KareoChat, and greatly appreciate @ShereesePubHlth & @CoherenceMed #HTreads tweet chat initiative, so am here 4 enthusiastic moral support!
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@GoKareo I do feel; small practices should see #telehealth as an opportunity under this program & make every effort to optimize its use #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @GoKareo: Q2: Q2: How can smaller practices avoid the (MIPS) 4% penalty based on performance. Are there risk management tools? @ShereesePubHlth #KareoChat #MIPS #MACRA #healthcare
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A2 "MAKE YOUR DEADLINES!" #kareochat https://t.co/Tq7lBy48Hq
Janae Sharp @CoherenceMed
RT @wareFLO: Chuck! (out of breath...) here for #Kareochat I'm not a big fan of #MACRA, so likely will not have much to say, however, I love the weekly #KareoChat, and greatly appreciate @ShereesePubHlth & @CoherenceMed #HTreads tweet chat initiative, so am here 4 enthusiastic moral support!
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A2 Most practices spend too much time complaining about requirements and not forming a strategy. "Quit b_tchin & start pitchin" #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A2 Every practice needs a risk management tool and especially one that considers documentation and clinical talent (4 specific reasons). #KareoChat
CP Nerve Center @Cpnervecenter
@ShereesePubHlth @GoKareo I'm curious: Which telehealth aspects are the easiest for small offices to implement? #kareochat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Failing to understand and strategize to make deadlines is more a reflection on poor internal processes, than on CMS requirements. #kareochat https://t.co/1AdOwMmgOM
Tebra @TebraOfficial
RT @ShereesePubHlth: A2 Most practices spend too much time complaining about requirements and not forming a strategy. "Quit b_tchin & start pitchin" #KareoChat
Tebra @TebraOfficial
RT @ShereesePubHlth: A2 Every practice needs a risk management tool and especially one that considers documentation and clinical talent (4 specific reasons). #KareoChat
Tebra @TebraOfficial
RT @Cpnervecenter: @ShereesePubHlth @GoKareo I'm curious: @ShereesePubHlth @GoKareo I'm curious: Which telehealth aspects are the easiest for small offices to implement? #kareochat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@Cpnervecenter @GoKareo It depends on your state in some instances but remote monitoring is huge. #KareoChat
Matt Fisher @Matt_R_Fisher
Hello #KareoChat. Joining late after a conference call.
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@Matt_R_Fisher Would love to hear your insights. #KareoChat
Judith Lindsay @judithconsult
RT @ShereesePubHlth: A2 Every practice needs a risk management tool and especially one that considers documentation and clinical talent (4 specific reasons). #KareoChat
Tebra @TebraOfficial
Q3: How can eligible #clinicians maximize revenue under #MIPS and where can clinicians find MIPS reporting support? @ShereesePubHlth #KareoChat #healthcare #HealthIT #physicians #MACRA
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@Cpnervecenter @GoKareo We should talk #kareochat https://t.co/A11K5VPami
Tebra @TebraOfficial
RT @ShereesePubHlth: Failing to understand and strategize to make deadlines is more a reflection on poor internal processes, than on CMS requirements. #kareochat https://t.co/1AdOwMmgOM
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @GoKareo: Q3: Q3: How can eligible #clinicians maximize revenue under #MIPS and where can clinicians find MIPS reporting support? @ShereesePubHlth #KareoChat #healthcare #HealthIT #physicians #MACRA
Matt Fisher @Matt_R_Fisher
T2: Think can avoid penalty by actually paying attn to requirements. Ignoring not really an option. #KareoChat
Tebra @TebraOfficial
RT @Matt_R_Fisher: T2: T2: Think can avoid penalty by actually paying attn to requirements. Ignoring not really an option. #KareoChat
Matt Fisher @Matt_R_Fisher
Definitely agree with that assessment. Can't pin own poor planning on someone else. #KareoChat https://t.co/uPghhCcqmG
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A3 I really wanted to get into this one. Your staff during implementation and sustainability are vital #kareochat https://t.co/sPs5WLq8T1
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A3 87% of practices want to use existing staff for MIPS but as I travel around the country, I can tell you, it's not always the best strategy #kareochat
Matt Fisher @Matt_R_Fisher
@ShereesePubHlth Existing staff, especially at small practices, is already pulled in a number of different directions. Hard to add more, but also hard convince spend $$ for help. #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A3 You need the right ppl in place. Ideally you want a physician-lead team but again, Its a problem. Small practices should consider hiring a physician consult (informaticist) #KareoChat
Tebra @TebraOfficial
RT @ShereesePubHlth: A3 87% of practices want to use existing staff for MIPS but as I travel around the country, I can tell you, it's not always the best strategy #kareochat
Matt Fisher @Matt_R_Fisher
@ShereesePubHlth Should is a good ideal, but are you seeing small practices actually do it? #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@Matt_R_Fisher Matt, I've been looking at these practices & even the one's who swear they know what they're doing, don't understand what they're suppose to be doing. SPEND THE MONEY! #KareoChat
Matt Fisher @Matt_R_Fisher
@ShereesePubHlth If you have the answer on how to pry the money away, I would love to get your magic. #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@Matt_R_Fisher It's a long-term strategy. They will optimize revenues in the long-run #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@Matt_R_Fisher I put in it in current dollars vs. future bonus & payment "sense" terms #KareoChat
Tebra @TebraOfficial
RT @ShereesePubHlth: A3 You need the right ppl in place. Ideally you want a physician-lead team but again, Its a problem. Small practices should consider hiring a physician consult (informaticist) #KareoChat
Tebra @TebraOfficial
RT @Matt_R_Fisher: @ShereesePubHlth Existing staff, especially at small practices, is already pulled in a number of different directions. Hard to add more, but also hard convince spend $$ for help. #KareoChat
Tebra @TebraOfficial
Q4: How can smaller practices leverage the #MIPS reporting flexibilities to maximize their composite performance scores and avoid penalties? @ShereesePubHlth #KareoChat #MACRA #HealthIT #healthcare #physicians
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A3 Smaller practices can also have their teams trained by MACRA consultants (wink, wink). This also ensures they get a thorough understanding & the cost is low or on a sliding scale #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @GoKareo: Q4: Q4: How can smaller practices leverage the #MIPS reporting flexibilities to maximize their composite performance scores and avoid penalties? @ShereesePubHlth #KareoChat #MACRA #HealthIT #healthcare #physicians
Tebra @TebraOfficial
RT @ShereesePubHlth: A3 Smaller practices can also have their teams trained by MACRA consultants (wink, wink). This also ensures they get a thorough understanding & the cost is low or on a sliding scale #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A3 Not to forget guys, Be at 100% on clinical documentation. This is an area where practices are still failing IMHO #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A4 Initially (2017) you have 3 options; choose 1, choose early, & satisfy those requirements w/ precision #KareoChat
Matt Fisher @Matt_R_Fisher
That looks like sound advice. Not really any way to stay on the outside. #KareoChat https://t.co/UBPK7UoIdv
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A4 Work on internal performance as if you patients' lives depended on it. Simply performing for compliance, IMHO, is the same as failing in scope #kareochat
Tebra @TebraOfficial
RT @ShereesePubHlth: A4 Work on internal performance as if you patients' lives depended on it. Simply performing for compliance, IMHO, is the same as failing in scope #kareochat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A4 In 2018, if practices have been diligent w/ ongoing data requirements, they should be able to report for the entire year, thus optimizing bonuses while insulating from pay adjustments #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A4 The full-year requirement has to be a delegated task. And the person performing the task must they themselves buy-into maximizing revenues, no "Debbie-downers" #KareoChat
Tebra @TebraOfficial
RT @ShereesePubHlth: A4 In 2018, if practices have been diligent w/ ongoing data requirements, they should be able to report for the entire year, thus optimizing bonuses while insulating from pay adjustments #KareoChat
Tebra @TebraOfficial
Q5: How can small practices identify branded #MIPS compliance #technologies, in lieu of current #EHR vendor capabilities? @ShereesePubHlth #KareoChat #MACRA #healthcare #HealthIT #HCSM
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A4 Again, your team is your strategy. In they're disengaged or don't understand that their performance affects practice's ability to maximize revenues, the system collapses #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@misterchambo @Matt_R_Fisher I totally agree but we were looking at existing small providers already vested #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @GoKareo: Q5: Q5: How can small practices identify branded #MIPS compliance #technologies, in lieu of current #EHR vendor capabilities? @ShereesePubHlth #KareoChat #MACRA #healthcare #HealthIT #HCSM
Matt Fisher @Matt_R_Fisher
@ShereesePubHlth @misterchambo Further, DPC may not be an option available to all practices. If within the system, necessary to play with the rules given. #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A5 @Capterra is a great resource if providers want to research & ID branded vendors. I stress this b/c there are a lot of EHRs that are currently failing practices. Find 1 that works #KareoChat
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
#WorkflowSighting! #KareoChat https://t.co/DCuuPlMWct
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A5 Full disclosure: I'm not paid to say this but..., I'm only recommending @drchrono & @GoKareo lately b/c I believe my clients will be in the best hands. #KareoChat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
A5 Help: https://t.co/AkUULrzBkl or https://t.co/8w763A69FC #KareoChat
Matt Fisher @Matt_R_Fisher
Thx @ShereesePubHlth for some good thoughts about MIPS/MACRA. Hope all seek help as needed. See you all next time. #KareoChat
Tebra @TebraOfficial
RT @ShereesePubHlth: A5 Full disclosure: A5 Full disclosure: I'm not paid to say this but..., I'm only recommending @drchrono & @GoKareo lately b/c I believe my clients will be in the best hands. #KareoChat
Tebra @TebraOfficial
Thank you @ShereesePubHlth for hosting our last #KareoChat before the #Thanksgiving break! You always knock it out of the park :) #MACRA #healthcare https://t.co/umpeNgVs5a
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@Matt_R_Fisher I really want to measure use w/ MIPS/MACRA; those who utilize outside help vs. those whose go w/ in-house. Might be interesting. Have a great weekend #kareochat
Tebra @TebraOfficial
RT @ShereesePubHlth: A4 Again, your team is your strategy. In they're disengaged or don't understand that their performance affects practice's ability to maximize revenues, the system collapses #KareoChat
Tebra @TebraOfficial
Q6 BONUS #KareoChat: What are you most thankful for in the #healthcare community? @ShereesePubHlth
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
#kareochat
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@GoKareo I'm most thankful for a great/healthy family & a career that feeds my soul in a way that feeds my family. Take care, everyone. #kareochat
CP Nerve Center @Cpnervecenter
Thanks Kareo and Thanks Shereese for the Great Info! Happy Thursday! #kareochat https://t.co/q47l4AJjN6
CP Nerve Center @Cpnervecenter
RT @GoKareo: Thank you @ShereesePubHlth for hosting our last #KareoChat before the #Thanksgiving break! You always knock it out of the park :) #MACRA #healthcare https://t.co/umpeNgVs5a
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
@GoKareo You're very welcome. I'm thankful to @GoKareo for exposing me to the world of healthcare chats #kareochat https://t.co/ctb9Ljai9I
#KareoChat content from Twitter.