Oct 10th, 2019
CMS moves to empower patients to be more active participants in the discharge planning process. A final rule revises and implements discharge planning requirements that hospitals, critical access hospitals (CAHs), and home health agencies (HHAs) must meet as a condition of participation (CoP) in the Medicare and Medicaid programs. These facilities have until Nov. 29, ...
In CMS
May 21st, 2019
The electronic clinical quality measure (eCQM) specifications for the 2020 reporting/performance period are now available. Eligible reporting entities should, “Work with your coding department and health information technology (IT) vendor to ensure your systems have been updated to the latest code versions,” during pre-check, advises the Centers for Medicare & Medicaid Services (CMS). Do the ...
Mar 22nd, 2019
Of the 1,057,824 clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) in the inaugural year, 1,006,319 (95 percent) participated in MIPS and avoided a negative payment adjustment, according to the Centers for Medicare & Medicaid Services’ (CMS) 2017 Quality Payment Program (QPP) Experience Report. The report, which CMS released March 21, provides ...
In Billing
Jul 26th, 2018
The long-awaited 2019 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule, released July 25, sets the wheels in motion for significant reforms in the way Medicare will pay providers in hospital outpatient settings. The Centers for Medicare & Medicaid Services (CMS) is moving toward site-neutral payments for clinic visits, which will save ...
In Coding
Jun 26th, 2018
An updated version of Quality Measure Specifications supporting documents was released June 25. Clinicians participating in the Merit-based Incentive Payment System (MIPS) and using either a registry or claims submission method will need this information to ensure proper reporting of quality measures on qualified patients. What Are Quality Measures? Quality measures are tools that help ...