Medicare COVID-19 Data Release Blog
By Seema Verma – CMS released preliminary data on COVID-19 derived from Medicare claims. The data provides a highly instructive picture of the impact of COVID-19 on the Medicare population.
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Staying Ahead of CMS Policy Changes – One Solution At A Time
By Abhinav Aggarwal – Payers and health organizations struggle to manage the sheer volume of encounter data submissions due to limited visibility into the encounter lifecycle. When an organization lacks visibility into the encounter management process, inaccuracies stemming from a sub-optimal claims process can manifest.
PI Program Hardship Exception Applications for Eligible Hospitals Due Sept 1
CMS requires that all eligible hospitals use 2015 Edition certified electronic health record technology to meet the requirements of the Promoting Interoperability Programs. CMS mandates downward payment adjustments be applied to eligible hospitals that are not meaningful users of CEHRT.
Provide Feedback on Proposed Changes to the Medicare PI Program for Hospitals
On May 11, 2020, CMS issued the FY 2021 Inpatient Prospective Payment System for Acute Care Hospitals and Long-Term Care Hospital Prospective Payment System Proposed Rule. Submit a Formal Comment by July 10, 2020.
Mitigate Pandemic Risks: Track Government Guidance
By Matt Fisher – The COVID-19 pandemic has brought about numerous changes to the healthcare industry, most notably on the regulatory front. When the pandemic reached emergency levels in the mid-March time period, the order officially declaring….
2021 CMS QRDA I Implementation Guide for Hospital Quality Reporting
The 2021 CMS QRDA I IG outlines requirements for eligible hospitals and critical access hospitals (CAHs) to report electronic clinical quality measures (eCQMs) for the calendar year 2021 reporting period for the:
Understand CMS Changes to Compliance Training
By Sheba Vine – Establishing and maintaining a well-designed compliance program is key to preventing, detecting, and mitigating noncompliance. The seven elements of an effective compliance program outlined in the Federal Sentencing Guidelines, sets the…
CMS Accepting Proposals for New Measures for the Medicare PI Program
CMS wants to remind eligible hospitals and critical access hospitals that the Annual Call for Measures for the Medicare Promoting Interoperability Program is still open. Submit a measure proposal by July 1, 2020.
CMS Shares Early Insights from the Accountable Health Communities Model
The Centers for Medicare & Medicaid Services is excited to release a brief on “Partnering for Impact: Early Insights from the Accountable Health Communities Model.”