When transitioning to a fee-for-quality system, evaluate coding processes and structure. By Lauren White, MPH, CPC As accountable care organizations (ACOs) and other value-based healthcare arrangements become mainstream, provider compensation models are shifting. Providers are being paid based more on quality metrics than by relative value units (RVUs), and organizations are becoming more interest...
Dec 1st, 2012
By Stephen C. Spain, MD, FAAFP, CPC Angela “Annie” Boynton, BS, CPC, CPC-H, CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT Part 2: As health care moves away from fee-for-service, quality care comes to the forefront. Evidence-based medicine (EBM) and the Physician Quality Reporting System (PQRS) have brought the concept of pay for performance (P4P) to health ...
In Billing
Jul 13th, 2012
The Centers for Medicare & Medicaid Services’ (CMS’) Medicare Physician Fee Schedule (MPFS) proposed rule for 2013 foretells possible changes to several quality reporting initiatives, including the Electronic Prescribing (eRx) Incentive Program, the Physician Quality Reporting System (PQRS), and the PQRS-Medicare EHR Incentive Pilot. MPFS: 2013 Changes to Physician Quality Programs ...
In Billing
Oct 28th, 2011
The Centers for Medicare & Medicaid Services (CMS) issued a final rule Oct. 20 that encourages primary care doctors, specialists, hospitals, and other health care providers to coordinate their care for Medicare beneficiaries through accountable care organizations (ACOs). The Medicare Shared Savings final rule, created by the Affordable Care Act, provides more options for providers who ...
Jun 10th, 2011
Organizations interested in applying to the new Pioneer ACO Model must submit a letter of intent and an application. The deadlines for submitting these documents, however, have changed. New Deadlines for ACO Letter of Intent and Application was last modified: January 17th, 2015 by admin aapc...