The Industry Talks Cures Act
President Obama signs into law the 21st Century Cures Act, approved by the Senate on Dec. 7 by a vote of 94-to-5, overwhelmingly passed by the House the week before. Here is what the industry is talking about.
Read MoreRegulatory Issues
Additional Opportunities for Clinicians Under the Quality Payment Program
CMS announced more new opportunities for clinicians to join Advanced Alternative Payment Models to improve care and earn additional incentive payments under the Quality Payment Program, which implements MACRA.
Improving the Quality of Care for Medicare Beneficiaries by Increasing Patient Engagement
By Patrick Conway MD & Andy Bindman MD – The Department of Health and Human Services identifies the engagement of Medicare beneficiaries as a cornerstone to achieving better care, smarter spending, and healthier people.
Formally Submit Quality Payment Program Comments by December 19
The Quality Payment Program final rule with comment period incorporates input received to date. To continue building on a user-centric approach, CMS is seeking feedback for future rulemaking.
ICD-10 Updates from CMS
On October 1, 2016, new ICD-10-CM and ICD-10-PCS code sets went into effect. Updating of these codes traditionally occurs on an annual basis, however, there was an extended freeze to code updates to support a smooth transition.
End-to-End or Means to an End: Choosing the Right Clearinghouse
By Crystal Ewing – As the rules and requirements around health insurance continue to increase in complexity, more healthcare providers are beginning to look to clearinghouses to help them improve revenue cycle management (RCM) overall.
CMS Finalizes its Measures Under Consideration List for Pre-rulemaking
By Kate Goodrich MD, MHS – Medicare and other payers are rapidly moving toward a health care system that rewards high quality care while spending taxpayer dollars more wisely.
Corrective Actions Cut Improper Payment Rate for Inpatient Hospital Claims
The Centers for Medicare & Medicaid Services is dedicated to reducing health care costs while, at the same time, making sure people get access to the right care, when and where they need it.
CMS OPPS 2017 Final Rule shows changes to Provider Based Status
CMS recently released the Outpatient Prospective Payment System (OPPS) Final Rule for 2017. For organizations that have provider-based clinics, this year’s final rule offers guidance.