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Quality Payment Program: Performance Scores for 2017 Claims Data

Thu, 02/15/2018 - 14:06
Health Policy Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Practitioners If you are an eligible clinician who submitted 2017 Quality performance data for the Merit-based Incentive Payment System (MIPS) via claims, view your performance scores through the data submission feature....

President’s FY2019 Budget Proposal Released

Thu, 02/15/2018 - 14:01
Health Policy Accountable Care Organization (ACO), Alternative Payment Models (APM), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Electronic Health Records (EHR), Practitioners This week the White House released the President’s FY2019 Budget Proposal entitled, Efficient, Effective, Accountable: An American Budget. The President’s budget does not have the force of law...

Proposed Budget Deal Impacts MACRA, Other Physician Pay Provisions

Thu, 02/08/2018 - 14:05
Health Policy Centers for Medicare and Medicaid (CMS), Payment, Accountable Care Organization (ACO), Coding, Reimbursement, & Documentation As a result of the Society’s advocacy efforts, along with the American Medical Association (AMA) and other physician groups, language extending the misvalued code offset has changed for the better. Earlier reports were that Congress was considering two additional years of this policy which would...

SNF QRP Quality Measure (QM) and Review and Correct Report Data Issues

Thu, 02/08/2018 - 13:14
Health Policy Skilled Nursing Care, Centers for Medicare and Medicaid (CMS) A calculation error has been identified for the three assessment-based quality measures reported on the SNF QRP Facility- and Resident-Level QM report and the SNF QRP Review and Correct reports (NQF #0678, NQF #0674, and NQF #2631). Duplicate stays and invalid admission dates can appear on these...

MIPS: Call for Advancing Care Information Measures and Improvement Activities

Thu, 02/08/2018 - 13:11
Health Policy Centers for Medicare and Medicaid (CMS), Medicare Access and CHIP Re-authorization Act (MACRA), Merit-Based Incentive Program Payment System (MIPS), Quality Payment Program (QPP), Electronic Health Records (EHR) The Centers for Medicare & Medicaid Services (CMS) is once again seeking input for additional Advancing Care Information (ACI) measures and improvement activities (IAs) for consideration for future years of the Merit-based Incentive Payment System (MIPS). Review the Call for Measures and...

CMS Publishes Advanced APMs for 2018 MACRA Reporting

Thu, 02/08/2018 - 13:10
Health Policy Centers for Medicare and Medicaid (CMS), Alternative Payment Models (APM), Merit-Based Incentive Program Payment System (MIPS) This week the Centers for Medicare & Medicaid Services (CMS) published a table displaying the Alternative Payment Models (APMs) that CMS operates. In the table CMS identifies which of those APMs CMS has determined to be MIPS APMs or Advanced APMs. As a reminder, MACRA requires eligible...

CMS to Host Q&A/Training Sessions on Advanced BCPI

Thu, 02/01/2018 - 11:41
Health Policy Centers for Medicare and Medicaid (CMS), Accountable Care Organization (ACO) The Centers for Medicare & Medicaid Services (CMS) has indicated that they have been receiving a large volume of questions in regards to the recently released Bundled Payments for Care Improvement Advanced (BPCI Advanced). The Agency stated that they will address most of the more complex...

Learn More About Next Generation Accountable Care Organizations

Thu, 02/01/2018 - 11:37
Health Policy Centers for Medicare and Medicaid (CMS), Medicaid, Accountable Care Organization (ACO) A revised MLN Matters Special Edition Article from the Centers for Medicare & Medicaid Services (CMS) on Next Generation Accountable Care Organization -...

Therapy Caps Exceptions Expired; Claims on Rolling Hold

Thu, 02/01/2018 - 11:36
Health Policy Centers for Medicare and Medicaid (CMS), Therapy Several Medicare legislative provisions affecting health care providers and beneficiaries recently expired, including exceptions to the outpatient therapy caps, the Medicare physician work geographic adjustment floor, add-on payments for ambulance services and home health rural services,...