In Coding
Dec 17th, 2017
Risk adjustment is a method to offset the cost of providing health insurance for individuals—such as those with chronic health conditions—who represent a relatively high risk to insurers. Under risk adjustment, an insurer who enrolls a greater-than-average number of high-risk individuals receives compensation to make up for extra costs associated with those enrollees. In the ...
Medical groups and health systems that are members of the American Medical Group Association (AMGA) estimate that 60 percent of their Medicare revenues will be risk-based in 2019, pointing to a greater need for risk-assessment coders. Fierce Healthcare reports respondents to the organization’s annual risk survey said they expect revenues from Medicare Advantage to equal ...
In CMS
Oct 19th, 2017
The Physician Compare preview period began Oct. 18 and ends Nov. 17. Now is the time for physicians to review their profiles for accuracy before they are made public. Misinformation could cost your practice dearly. Check the Basics General information given on the Physician Compare website for physicians enrolled in Medicare includes: Name Medical specialties Contact information Medicare ...
In CMS
Oct 9th, 2017
Medical centers in Mississippi and South Carolina have been named Telehealth Centers of Excellence by the Health Resources and Services Administration (HRSA), making them Department of Health and Human Services (HHS) primary research facilities for telemedicine. Each organization receives $600,000 in initial grants with the opportunity to receive $2 million in funding for two years. ...
Sep 7th, 2017
The Centers for Medicare & Medicaid Services (CMS) filed a proposed rule in the Federal Register on June 20 for year two of the Quality Payment Program. The agency quickly followed up on June 26 with a webinar to provide a digestible overview of the major provisions in the 1,058-page document. The Medicare Access and ...