4 EDI and Claims Investments Your Clearinghouse Should Be Making
By Scott Ablin – Claims and clearinghouse services encompass everything from verifying patient eligibility to claims processing to handling all forms of payer payments.
Read MoreRegulatory Issues
Plans for the Quality Payment Program in 2017: Pick Your Pace
By Andy Slavitt – As the baby boom generation ages, 10,000 people enter the Medicare program each day. Facing that demand, it is essential that Medicare continues to support physicians in delivering high-quality patient care.
CMS Comprehensive Primary Care Plus Initiative FAQs
By Jeff Jones – What should you know before submitting your application? Don’t forget all applications for CPD+ must be submitted by September 15, 2016 at 11:59 EDT
ISA Twitter Chat Highlights
The ISA is a coordinated catalog of standards and implementation specifications that are available for use by the health information technology industry to meet interoperability needs. Yesterday, the ONC with Steven Posnack hosted #ISAchat.
CMS Advancing Care Coordination Webinar
CMS published four new payment models and refinements to a current model through a notice of proposed rulemaking to further advance care coordination for Medicare FFS beneficiaries, which will begin 7/1/17.
Building on Premium Stabilization for the Future
By Kevin Counihan – The Affordable Care Act, the Medicare Part D prescription drug benefit, and a number of states’ insurance plans include reinsurance programs as a way to promote stable, affordable health coverage.
The Impact of MACRA on Your Practice
By Jeff Jones – Encouraging physicians to switch to EHRs has been a long term effort from CMS ever since the January 2009 passage of the HITECH act.
Hospital IPPS and LTCH Final Rule Policy and Payment Changes for Fiscal Year 2017
CMS issued a final rule to update fiscal year 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System and the Long-Term Care Hospital Prospective Payment System. The final rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect discharges occurring on or after October 1, 2016.
CMS Announces Next Phase in Largest-Ever Initiative to Improve Primary Care in America
CMS opened the application period for practices to participate in the new nation-wide primary care model, Comprehensive Primary Care Plus (CPC+). CPC+ is a five-year primary care medical home model beginning January 2017 that will enable primary care practices to care for their patients the way they think will deliver the best outcomes and to pay them for achieving results and improving care.