In Billing
Apr 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule April 14 that would update 2018 Medicare payment and polices in the Inpatient Prospective Payment System (IPPS) and Long-term Care Hospitals Prospective Payment System (LTCH PPS). The proposed changes apply to approximately 3,330 acute care hospitals and approximately 420 LTCHs and, if finalized, ...
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...
In CMS
Mar 21st, 2017
It may be spring, but the freeze is still on in Washington, D.C. — the “Regulatory Freeze Pending Review” memorandum, or Freeze Memo, that is. The Freeze Memo encourages agencies to temporarily postpone the effective date of regulations that have been published in the Federal Register, but have not taken effect, for 60 days from the date ...
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 ...
In CMS
Feb 14th, 2017
Small practices and facilities stand to benefit from new payment models based on new quality measures for coronary and orthopedic care. In December, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models shifting Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care ...