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 ...
In ICD-10
Oct 21st, 2016
ICD-10 presents a double-punch of changes while reporting standards are tightened. Entering its second year, it includes thousands of new codes implemented October 1, 2016. For example, the new ICD-10-CM diagnosis code set has: 1943 new codes, 422 revised codes, and 305 deleted codes. ICD-10-PCS, the Procedural Coding System used by hospitals and facilities is ...
In CMS
Oct 13th, 2016
On Oct. 13, the Centers for Medicare & Medicaid Services (CMS) announced its effort to relieve some of the administrative burdens of Advanced Alternative Payment Models (APMs) on physicians. While implementing new healthcare delivery system reforms stemmed from the Affordable Care Act and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), CMS wants clinicians ...
Apr 6th, 2016
On March 29, the Centers or Medicare & Medicaid Services (CMS) finalized a mental health and substance use disorder parity rule for Medicaid and Children’s Health Insurance Program (CHIP) coverage. The final rule will bolster access to mental health and substance use disorder benefits for low-income Americans. The final rule was announced during the President ...
Jan 22nd, 2016
The Centers for Medicare and Medicaid Services (CMS) finalized a rule on January 21 that explained reforms to the Medicaid prescription drugs rebate and reimbursement systems. It’s estimated that the federal and state governments will save $2.7 billion over five years. The reform aims to increase rebates and set limits on federal reimbursements for Medicaid prescription drugs. According to ...