Monday Morning Rounds with CMS
In case you missed it, this is recent communication from the Centers for Medicare & Medicaid Services. Subscribe to their email lists to keep up to date on all press and news releases.
Read MoreCMS
CMS Rule Drives New Era of API-Enabled Data Sharing and Prior Authorization Reform
By Kim Boyd – On January 17, 2024, CMS unveiled the final rule aimed at advancing interoperability and enhancing prior authorization processes. This regulation leverages API technology to drive transparency, efficiency, and reduce provider, patient, and payer burden.
Participation Continues to Grow in CMS’ ACO Initiatives in 2024
CMS announced increased participation in CMS’ accountable care organization initiatives in 2024, which will increase the quality of care for more people with Medicare. Of note, CMS is announcing that 19 newly formed ACOs in the Medicare Shared Savings Program are participating in new, permanent payment option beginning in 2024…
Reminder: MIPS 2023 Data Submission is Open
The Centers for Medicare & Medicaid Services opened data submission for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2023 performance year of the Quality Payment Program. Data can be submitted and updated until 8:00 p.m. ET on April 1, 2024.
CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process
As part of the Biden-Harris Administration’s ongoing commitment to increasing health data exchange and strengthening access to care, the Centers for Medicare & Medicaid Services finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F).
Reminder: Upcoming MIPS Important Dates and Deadlines
Deadlines: The Centers for Medicare & Medicaid Services would like to remind clinicians of important upcoming Merit-based Incentive Payment System (MIPS) dates and deadlines:
Monday Morning Rounds with CMS
In case you missed it, this is recent communication from the Centers for Medicare & Medicaid Services. Subscribe to their email lists to keep up to date on all press and news releases.
A Step Where a Leap is Needed
By Matt Fisher – As part of its annual summer tradition, the Centers for Medicare and Medicaid Services published the proposed 2024 Medicare Physician Fee Schedule with some seeming shakeups to reimbursements. A relatively small part of the proposed rule could be a pebble being taken out of a dam that enables more change to flow.
CMS Finalizes Physician Payment Rule that Advances Health Equity
CMS announced it is finalizing policies to support primary care, advance health equity, assist family caregivers and expand access to behavioral and certain oral health care.