Value Based Programs
In Billing
Aug 28th, 2023
Comments Off on 2024 IPPS/LTCH 3.1 Percent Payment Increase “Falls Far Short”
Hospitals argue the 3.1 percent payment increase tied to quality reporting isn’t enough to cover inflation hikes. The Centers for Medicare & Medicaid Services’ (CMS) hospital Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS) final rule is officially published in the Aug. 28 Federal Register. Effective Oct. 1 for ...
Jul 6th, 2023
Comments Off on Making Care Primary: Strategic Support for Accountable Care
CMS’ newest program aims to facilitate value-based payment participation. The Centers for Medicare & Medicaid Services (CMS) has a new goal: Get 100 percent of traditional Medicare beneficiaries and most Medicaid beneficiaries into accountable care relationships by 2030. Strengthening the U.S. primary care infrastructure has been an ongoing project for CMS, and they aim to ...
In CMS
May 5th, 2023
Comments Off on 2023 CMS Quality Conference Addresses Health Disparities
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
Comments Off on Tips for Successful MIPS Participation
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, ...
In CMS
Sep 1st, 2022
Comments Off on The Impact of 2022 Medicare Advantage Star Ratings
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 ...