CMS issued the final Market Stabilization rule, to help lower premiums and stabilize individual and small group markets and increase choices for Americans. Individuals obtaining coverage in the Marketplace created by the Affordable Care Act.
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By Marilyn Agbeko – Ah, the good old days; perform a procedure for a patient, submit claims and get paid. To get paid more, perform more procedures. Easy math. Success lay in managing the transactions between scheduling of services and receipts of payment so that you didn’t leave money on the table.
By Sean Cassidy – You’ve got to love CMS. They took a simple concept like “if you lower the cost of delivering care to a population of patients, we’ll share the savings with you” and exploded it into a Rube Goldberg machine of pieces, parts, rules, constraints and exceptions.
HL7 is pleased to announce that Release 3 of FHIR has just been published. The FHIR community invested a huge amount of work in this release. How is FHIR being used in healthcare today?
At the HIMSS conference in February, I sat down with Ric Sinclair of ZirMed. In this interview, Ric offers his insights on current and future trends impacting revenue cycle management.
CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on Inpatient Skilled Nursing Facility denials and Chronic Care Management Payment correction for RHCs and FQHCs.
The Centers for Medicare & Medicaid Services recently posted new resources to the Quality Payment Program website to help healthcare professionals participate in the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).
CMS OMH and the Federal Office of Rural Health Policy at the HRSA introduced Connected Care, an educational initiative to raise awareness of the benefits of CCM services for Medicare beneficiaries with multiple chronic conditions and to provide health care professionals with support to implement CCM programs.
By Marilyn Agbeko – To Repeal or not to repeal; that is NOT the question. Not when it comes value based care and the basic tenets of tying reimbursement to quality. At least, not that we’ve seen yet, and I daresay, not that we will see any time soon.