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 CMS
Mar 13th, 2017
House plans to replace Obamacare through a proposed Congressional reconciliation bill would reduce federal deficits by $323 billion of on-budget savings and $13 billion in off-budget by 2026, but the human cost will be high, according to the Congressional Budget Office (CBO). The bipartisan agency said 14 more people would be uninsured in 2018 under ...
In Billing
Jan 6th, 2017
U.S. Attorney for the District of Maryland, Rod J. Rosenstein announced December 20 that Elma Myles pled guilty to defrauding Medicaid and other health benefit programs by conspiring to have durable medical equipment provider RX Resources and Solutions (RXRS) bill for supplies that were never provided or were medically unnecessary, and to overcharge for materials ...
In MACRA
Aug 23rd, 2016
What does MACRA mean for physician practices? On May 9, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to put in place key parts of MACRA. CMS proposes to make these changes through a single framework called the Quality Payment Program. This infographic will inform you of what we know, ...
Aug 5th, 2016
General acute hospitals paid under the Inpatient Prospective Payment System (IPPS) that successfully participate in the hospital Inpatient Quality Reporting Program and are meaningful electronic health record (EHR) users will see an estimated 0.95 percent increase in operating payment rates in 2017, according to a final rule issued Aug. 2. Reflected in this payment update ...