Value Based Programs
May 5th, 2023
The PHE is over. It’s time to refocus attention on quality care. The theme for the Centers for Medicare & Medicaid Services (CMS) Quality Conference, held virtually May 1-3 this year, was Building Resilient Communities: Having an Equitable Foundation for Quality Healthcare. Each day of conference was packed with informative and inspiring sessions led by ...
In Billing
Jan 3rd, 2023
This year, take measures to earn a positive payment adjustment on your Medicare claims. Are you ready for Merit-Based Incentive Payment System (MIPS) in 2023? The Medicare performance-based incentive program can be overwhelming and confusing to anyone, whether your practice is an annual MIPS participant or a novice. With impending cuts to Medicare reimbursement, however, ...
Sep 1st, 2022
Payer and Providers: Are you ready for the repercussions of COVID-19 on your revenue? The Centers for Medicare & Medicaid Services’ (CMS’) Medicare Advantage Star Ratings release for 2022 made for a historic year, boosting a considerable number of plans into higher scores than seen before. The resulting bonus payments to many plans is a ...
Nov 30th, 2020
Comments Off on Feds Revise Stark Law and Anti-kickback Statute
Two final rules make value-based programs less of a liability for physicians. The Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) announced, Nov. 20, coordinated efforts to revise the physician self-referral law, or Stark law, and anti-kickback statute through rulemaking to make value-based programs less risky for healthcare providers to ...
Apr 10th, 2019
Comments Off on Telehealth, Other Services Changed in Medicare Advantage
Medicare Advantage (MA) enrollees have additional telehealth benefits thanks to a final rule released by the the Centers for Medicare & Medicaid Services (CMS). Telehealth Expanded Under New Rule Starting in 2020, Medicare Advantage enrollees will be able to access providers through electronic devices such as their computers, computer pads, and smart phones from their ...