Apr 13th, 2017
Facilities participating in voluntary value-based programs have fewer readmissions than those not-involved, according to a study in AMA’s JAMA Internal Medicine.  The 10-year study, conducted by researchers from the University of Michigan, analyzed 30-day readmission rates for patients treated for heart disease and pneumonia in 2,800 hospitals. Study Results “Association Between Hospita...
Apr 11th, 2017
The Centers for Medicare & Medicaid Services (CMS) unveiled a fact sheet to ipmrove understanding of HIPAA’s least-known provision, Administrative Simplification. The FAQ helps explain the three-pronged approach to simplification: electronic transactions, code sets, and unique identifiers. CMS said the fact sheet explains how Administrative Simplification standards streamline day-to-day t...
In MACRA
Mar 22nd, 2017
Section 3021 of the Affordable Care Act gives the Center for Medicare and Medicaid Innovation (CMMI) the authority to test alternate payment models (APMs). The goals of these APMs are to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries. Pediatric Alternative Payment ...
In MACRA
Mar 14th, 2017
To participate in the Medicare Incentive Payment System (MIPS), you will need to select the Quality, Improvement Activities, and/or Advancing Care Information measures on which you will report this year. The Centers for Medicare & Medicaid Services (CMS) offers an online tool that allows you review and download the various measures for informational and estimation purposes (You cannot ...
This year marks the first performance year in the Merit-based Incentive Payment System (MIPS) — a new payment adjustment system within the Centers for Medicare & Medicaid Services’ (CMS) Quality Payment Program, which replaces three separate programs: Physician Quality Reporting System (PQRS) Value-based Payment Modifier (VM) Medicare Electronic Health Record (EHR) Incentive Program In 2019, ...