New Resources Available on QPP Resource Library
The Centers for Medicare and Medicaid Services has posted the following new resources to the Quality Payment Program (QPP) Resource Library:
Read MoreRegulatory Issues
CMS Announces Upcoming Enhancement of Overall Hospital Quality Star Ratings
CMS is announcing plans to update the quality measurement methodology of the Overall Hospital Quality Star Ratings located on CMS’ popular Hospital Compare website in 2021. In the interim, CMS will next refresh the Star Ratings using…
What’s Happening at the ONC – 8-30-19
Supporting the adoption of health IT and the promotion of nationwide health information exchange to improve health care, here is what is happening at the ONC. Including the Interoperability Standards Advisory, 2020 Eligible Hospital eCQM Flows, InteropForum highlights & more.
ClinicalBox Improves Surgery through Enhanced Prior Authorization and Clinical Coordination
By Chris Muir & Brett Coughlin – We recently checked in with ClinicalBox and Lowell General Hospital about their progress since being selected as one of six winners of ONC’s 2015 Market Research and Development (R&D) Pilot Challenge in 2015.
The ABC of Blue Button: APIs and the Future of Healthcare Patient Data
By Abhinav Shashank – Digital disruption, in any industry, comes in waves. While other industries have benefitted from modern technology, healthcare has some catching up to do.
CMS Report Shows Declining Enrollment for the Unsubsidized Population
CMS released two reports, the Early 2019 Effectuated Enrollment Report and the Trends in Subsidized and Unsubsidized Enrollment Report. These reports provide information on the stability of the individual health insurance market during the 2018 plan year…
Healthcare Directories Workshop Focuses on Secure Validation of Clinician Data
By Daniel Chaput – For patients, healthcare providers, and health plans (among other stakeholders) who need trustworthy, actionable information, the advantages of validated “healthcare directories” are wide ranging and will play an increasing part in our nation’s interoperability infrastructure.
MIPS-Eligible Clinicians: Reporting Patient Relationship Categories
CMS recently released a Medicare Learning Network (MLN) Matters article about reporting Patient Relationship Categories and Codes on Medicare claims.
Operating Rules for Payment-Related Transactions
Operating Rules message highlights operating rules for the Electronic Funds Transfer and Electronic Remittance Advice transactions. An EFT is the electronic message that plans use to order funds to be electronically transferred to a provider’s bank account.