The 2019 Quality Payment Program API Developer Preview is Now Open
The Quality Payment Program Application Programming Interface Developer Preview environment is now open for testing QPP submissions for performance year 2019.
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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:
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…
Sorting out AI, ML, DL, and NLP
This is our ongoing reporting on how AI is being integrated into healthcare technology. We are seeking out the thought leaders and innovations that are moving the needle forward which include Xconomy, Syft, Tampa General Hosp., Secure Exchange Solutions, GLHC, Veeva Systems, UCHealth, AHA, & the CMS AI Health Outcomes Challange.
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…
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.
Update on Promoting Interoperability
On August 2, CMS issued the Fiscal Year 2020 Inpatient Prospective Payment System and the Long-Term Acute Care Hospital Prospective Payment System final rule.
Medicare OPPS and ASC Payment System CY 2020 Proposed Rule
The Centers for Medicare & Medicaid Services is proposing historic changes as a result of President Trump’s recent Executive Order on price and quality transparency that lays the foundation for a patient-driven healthcare system.