By Stephanie St. Thomas – Poor patient (or member) matching plagues every single component of healthcare, often in different ways and with varying degrees of visibility into the problem. The post Member Data Matching Key To Risk Adjustment Program Success appeared first on RCM Answers.
CMS has posted an additional resource on CMS.gov to help eligible clinicians and groups understand their Merit-based Incentive Payment System 2019 payment adjustment based on their 2017 performance. The post Now Available: MIPS 2019 Payment Adjustment Fact Sheet appeared first on HITECH Answers: HIPAA, MIPS, EHR, Cybersecurity News.
By Tom Peterson – Risk adjustment enables CMS to pay health plans based on the anticipated cost of covering care for the beneficiaries they enroll. Therefore, it’s important for health plans (and provider groups with percent of premium contracts) to get risk adjustment right. The post The Risk Adjustment All-Stars: Five Key Players appeared first […]
By Deborah Grider – Coding in a Value-Based World: Is your revenue at risk? If your hospital or practice isn’t fully adhering to the risk adjustment and Hierarchical Condition Category coding requirements for Medicare Advantage plans, the answer may be yes. The post What You Need to Know About Risk Adjustment and HCC Coding appeared […]
The deadline for Eligible Professionals (EPs) to submit Reconsideration forms for the 2017 payment adjustment—based on the 2015 EHR reporting period—is February 28, 2017. No applications will be accepted after the deadline. The post EPs: Remember to Submit Reconsideration Forms for the 2017 Payment Adjustment! appeared first on HITECH Answers: Meaningful Use, EHR, HIPAA News.
As part of ARRA, Congress established payment adjustments under Medicare for eligible hospitals that are not meaningful users of CEHRT. Learn more about what to know in 2017. The post 2017 Medicare EHR Incentive Program Payment Adjustment for Hospitals appeared first on HITECH Answers: Meaningful Use, EHR, HIPAA News.
Payment adjustments for eligible professionals that did not successfully participate in the Medicare EHR Incentive Program in 2014 will begin on January 1, 2016. Medicare eligible professionals can avoid the 2016 payment adjustment by taking action by July 1 and applying for a 2016 hardship exception.0 The post Medicare Eligible Professionals: Avoid 2016 Medicare Payment […]
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