In Billing
Feb 7th, 2018
Many quality measures in the Quality Payment Program include ICD-10-CM codes in either the numerator, denominator, exclusions, or exceptions, and used to determine patient eligibility. The accuracy of any measure, and the ability for eligible clinicians to meet data completeness, risk being compromised when ICD-10 codes are updated (October 1). Workflows that are not automatically updated, such as ...
In Billing
Jan 19th, 2018
This week in healthcare, the results of the 2018 Value Modifier were released and clinicians learned what it means for their bottom line this year. Revisions to the definitions for custom fabricated and therapeutic inserts were finalized, as well. And let’s not forget that it’s Glaucoma Awareness Month. The Centers for Medicare & Medicaid Services (CMS) also offers this week: ...
In CMS
Jan 18th, 2018
The 2016 Value Modifier (VM) performance results and 2018 payment adjustment factor are now available: Out of over 1 million clinicians, only approximately 20,000 will see an upward VM payment adjustment in their Medicare Physician Fee Schedule (MPFS) payments this year. This may not be a good time to ask for that raise. Table A shows ...
In CMS
Jan 12th, 2018
The Centers for Medicare & Medicaid Services (CMS) announced on Jan. 9 the launch of their Innovation Center’s Bundled Payments for Care Improvement Advanced (BPCI Advanced) payment model. It’s voluntary and can earn providers payment if all costs for a patient’s episode of care are “under a spending target that factors in quality.” This differs ...
In CMS
Dec 22nd, 2017
2017 was a rough year. Hurricanes Harvey, Irma, and Maria battered parts of Florida and devastated Puerto Rico. Wildfires destroyed hundreds of thousands of acres in Northern California. And the Centers for Medicare & Medicaid Services (CMS) implemented a new payment system tied to improved health outcomes and reduced spending — two things that are impossible to control in ...