Nov 16th, 2018
A final rule released for public inspection Nov. 2 finalizes policy for Year 3 (2019/2021) of the Quality Payment Program (QPP). The Centers for Medicare & Medicaid Services (CMS) continues to implement the Merit-based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs), as required by law (i.e., MACRA), while working to reduce the ...
In CMS
Nov 16th, 2018
 CMS has said they plan on rolling out mandatory Medicare bundled payment models for cancer, and they are going to reconsider voluntary cardiac care bundled models, even though they had decided that cardiac care bundled care would not work. Bundled Models HHS Secretary Alex Azar indicated that although bundled payments for care is a voluntary ...
Telemedicine is a new mode of delivery of care and is ripe for fraud opportunities, but the Department of Justice appears to be on top of potential schemes. The DOJ indicted four men  with a multi-state telemedicine scheme that billed at least $931 million in fraudulent claims to private insurances according to the Department of ...
In Billing
Nov 15th, 2018
The Centers for Medicare & Medicaid Services (CMS) issued several blanket waivers, Nov. 13, for those who are evacuated, transferred, or otherwise displaced as a result of  the California wildfires. These waivers are retroactive to Nov. 8, and allow healthcare providers to continue caring for Medicare patients affected by the emergency without having to apply ...
In Coding
Nov 15th, 2018
Millennials, those born between 1980 and around 2000, access healthcare differently. Are you aware of their habits? Here’s an example. Millennials look for convenience and price transparency along with the fast service. This challenges the traditional primary care medicine office care delivery model. As a result of having a difficulty in getting convenient appointments, knowing ...