Pleased with the success of its  Accountable Care Organization (ACO) experiments, the Department of Health and Human Services (HHS) announced  the Next Generation Accountable Care Organization (ACO) model of payment and care delivery, an initiative from the Centers for Medicare & Medicaid Services’ (CMS) Innovation Center.  A part of the Affordable Care Act — or Obamacare ...
Oct 27th, 2014
With the aim of helping more physicians get on board with healthcare reform, the U.S. Department of Health & Human Services (HHS) announced, October 23, that it will invest $840 million over the next four years in a new initiative: the Transforming Clinical Practice Initiative. There were 850,085 physicians in 2010 with an active license to practice medicine ...
Jul 30th, 2014
The Patient Protection and Affordable Care Act of 2010 (ACA) requires healthcare providers to return overpayments to government payers, with an explanation of why the payment is being returned, within 60 days from the time that the provider identifies the overpayment. According to regulation, an “identified” overpayment occurs when “a person has actual knowledge of ...
Sep 30th, 2013
Beginning Oct. 1, 2013, health insurance consumers will be able to shop and enroll in new insurance plans through marketplaces on state or federal government websites. It’s part of the Affordable Care Act’s mission to provide universal health coverage. Coverage through the marketplaces, and an expanded Medicaid program, begins Jan. 1, 2014, which coincides with ...
Aug 1st, 2013
Become familiar with it, make a plan, and it will keep your claims and business clean.  By Evan M. Gwilliam, DC, CPC, CPC-I, CCPC, CPMA, NCICS, CCCPC, MCS-P In October 2000, the U.S. Department of Health & Human Services (HHS) Office of Inspector General (OIG) published in the Federal Register general guidelines for healthcare facilities ...