In CMS
Mar 23rd, 2017
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provides for voluntary virtual groups for assessment purposes in the Merit-based Incentive Payment System (MIPS). The concept was too complex for the Centers for Medicare & Medicaid Services (CMS) to implement this first year of the new Quality Payment Program; CMS contends they will implement ...
In CMS
Mar 21st, 2017
It may be spring, but the freeze is still on in Washington, D.C. — the “Regulatory Freeze Pending Review” memorandum, or Freeze Memo, that is. The Freeze Memo encourages agencies to temporarily postpone the effective date of regulations that have been published in the Federal Register, but have not taken effect, for 60 days from the date ...
In CMS
Mar 20th, 2017
Physicians may provide “professional courtesy” discounts to other physicians, as well as to those with whom they work or have a personal relationship (e.g., office staff, hospital employees, and family members). Professional courtesy services can create legal liabilities under Stark anti-kickback laws, which define the practice as “the provision of free or discounted healthcare items ...
In CMS
Mar 13th, 2017
House plans to replace Obamacare through a proposed Congressional reconciliation bill would reduce federal deficits by $323 billion of on-budget savings and $13 billion in off-budget by 2026, but the human cost will be high, according to the Congressional Budget Office (CBO). The bipartisan agency said 14 more people would be uninsured in 2018 under ...
In CMS
Feb 28th, 2017
New compliance program guidance has been issued by the Fraud Section of the Department of Justice (DOJ), according to an article published in the AHLA Weekly. Although the “Evaluation of Corporate Compliance Programs” (Guidance) is not specific to the healthcare industry, it does provide a practical set of benchmarks against which the audit & compliance committee, in ...