In CMS
May 18th, 2017
Payers and practices are getting a second chance to participate in the Comprehensive Primary Care Plus (CPC+) model from 2018 to 2022. The four regions selected for CPC+ Round 2 are: Louisiana (statewide) Nebraska (statewide) North Dakota (statewide) New York (Greater Buffalo Region: Erie and Niagara counties) Eligible practices located in these regions may apply ...
May 9th, 2017
The Centers for Medicare & Medicaid Services (CMS) has made it easier for clinicians to determine their eligibility in the Merit-based Incentive Payment System (MIPS): A new interactive online tool allows clinicians to determine their status simply by entering their national provider identifier. Last month, CMS also started sending Medicare-participating clinicians notices in the mail to inform...
In Billing
Apr 21st, 2017
The Centers for Medicare & Medicaid Services (CMS) recently posted three new resources to its Quality Payment Program Educational Resources webpage: MIPS Participation Fact Sheet: This fact sheet answers basic questions about eligibility in the Merit-based Incentive Payment System (MIPS). Fact: “Clinicians who are not included in MIPS now, may choose to voluntarily submit data individua...
Mar 30th, 2017
A recent survey cosponsored by Healthcare Informatics and SERMO assessed healthcare providers’ readiness for Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) mandates. The law requires the Centers for Medicare & Medicaid Services (CMS) to adjust Medicare Part B payments based on performance data that eligible clinicians and clinician groups submit, each year. Beginning in ...
In MACRA
Mar 22nd, 2017
Section 3021 of the Affordable Care Act gives the Center for Medicare and Medicaid Innovation (CMMI) the authority to test alternate payment models (APMs). The goals of these APMs are to reduce program expenditures while preserving or enhancing the quality of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) beneficiaries. Pediatric Alternative Payment ...