Apr 13th, 2017
Facilities participating in voluntary value-based programs have fewer readmissions than those not-involved, according to a study in AMA’s JAMA Internal Medicine.  The 10-year study, conducted by researchers from the University of Michigan, analyzed 30-day readmission rates for patients treated for heart disease and pneumonia in 2,800 hospitals. Study Results “Association Between Hospita...
In Billing
Oct 14th, 2016
Want to sound smart? Learn the new MACRA acronyms. The Center for Medicare & Medicaid Services’ (CMS) brand new MACRA final rule acknowledges the dizzying number of acronyms included. Some have been developed just for the new system, while some old ones have been altered to meet the needs of the system. Here is list ...
In Billing
Sep 8th, 2016
April 2016 marked another landmark in our ever changing healthcare environment. To advance the nation’s shift to a value-based payment methodology, CMS announced the launch of the Comprehensive Primary Care Plus (CPC+) initiative. The objective of this new program is to allow physicians to spend more time with patients and better coordinate care outside of the ...
In CMS
Jul 26th, 2016
On July 25, the Centers for Medicare & Medicaid Services (CMS) proposed new payment models that would reward hospitals for working with healthcare providers to avoid complications, prevent hospital readmissions, and speed recovery in patients admitted for cardiovascular disease or hip/femur fracture. The notice of proposed rulemaking contains three new policies: New bundled payment models for ...
Get answers to questions about the affect 2015 legislation will have on Medicare Part B reimbursement. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repealed the sustainable growth rate (SGR) formula — used since 1997 to determine Medicare payment updates — and established an annual 0.5 percent update to the Medicare Physician Fee ...