By Jim Dougherty – By 2020, healthcare spending by the United States is projected to reach almost 20% of GDP, making the U.S. the largest healthcare spender of any nation in the world. While curbing healthcare spending is a herculean task, the 2017 CAQH Index estimated that….
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The Centers for Medicare & Medicaid Services is proposing major policy changes to ensure clinicians spend more time providing high-value care for patients instead of filing cumbersome paperwork.
CMS released its proposed policies for the 2020 performance year of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). Comments due by Sept. 27, 2019
By Lisa Ball – Medical coders are the unsung heroes of the healthcare industry. They are the link between the physicians and the payer that ultimately determine what the patient pays and what their treatment is. To those outside the industry, it may not seem like…
By Steven Posnack & Brett Andriesen – We know it’s been a busy year for your reviewing and commenting on our 21st Century Cures Act Proposed Rule and the latest draft documents associated with the Trusted Exchange Framework and Common Agreement (TEFCA).
If you submitted 2018 Merit-based Incentive Payment System (MIPS) data, you can now view your performance feedback and MIPS final score on the Quality Payment Program website.
CMS proposed to cover acupuncture for Medicare patients with chronic low back pain who are enrolled participants either in clinical trials sponsored by the National Institutes of Health or in CMS-approved studies. Currently, acupuncture is non-covered by Medicare.
CMS finalized its national coverage policy for Ambulatory Blood Pressure Monitoring (ABPM). ABPM is a non-invasive diagnostic test that uses a device to track blood pressure over 24-hour cycles
By Buff Colchagoff – With the ONC planning on releasing the next iteration of TEFCA this year, many HIEs are likely very concerned about the potential impact of this federally-constructed interoperability initiative.