In CMS
Jun 11th, 2018
Participation by clinicians in the Merit-based Incentive Payment System (MIPS) exceeded targets, Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS) recently crowed in a blog. Verma announced 91 percent of all eligible clinicians participated, topping the health agency’s 90 percent goal. Verma also revealed that 98 percent of Accountable Care Organizations (...
In CMS
Apr 20th, 2018
Quality reporting changes in 2018 for MIPS eligible clinicians who don’t see most of their patients face to face. Clinicians, clinician groups, and virtual groups eligible to participate in the Merit-based Incentive Payment System (MIPS) should know what percentage of their patient encounters are considered non-patient facing. Although self-identification is not required in 2018, the reporting ...
In Billing
Apr 3rd, 2018
Here’s a question to consider when coding and billing for services performed as part of an accountable care organization (ACO):  who pays providers’ standing claims if the ACO dies? If the State of Utah has its way, seven payers will have to pony up $26.6 million in unpaid claims for the Arches Health Plan, which folded ...
Mar 28th, 2018
Millennials are changing everything about how we do and how we think, and their choices will challenge medical coding and billing dramatically, as revealed in a recent survey by EBRI Research. Here are some of the findings: Millennials have the highest rates of wellness program participation. According to the study, Millennials are nearly across the board ...
In CMS
Mar 20th, 2018
At the HIMSS18 Conference, March 3, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma spoke about how far healthcare infrastructure has come in the United States and how far it has yet to go, referring specifically to electronic health records (EHRs). Here is an excerpt from her speech: We have held meetings in cities across ...