CMS Issues Interim Rule Delaying Key Value-based Reimbursement Programs
Mar22

CMS Issues Interim Rule Delaying Key Value-based Reimbursement Programs

The new Administration is hitting the pause button on several Medicare payment reform initiatives, including bundled payment initiatives, according to an interim final rule (IFR) published this week in the Federal Register.

Read More

Ambulatory Surgery Centers Facing Increased Coding Compliance Scrutiny

Scrutiny of coding compliance in ambulatory surgery centers (ASCs) from both Medicare and private payers has been on the rise in recent years.

Read More
CMS Defers PQRS Penalties for Two Years Due to Quality Measures Error
Jan10

CMS Defers PQRS Penalties for Two Years Due to Quality Measures Error

Due to the high volume of new ICD-10 procedure and diagnosis codes released on October 1, 2016, the CMS was unable to update all of the PQRS measures. As a result, CMS will not penalize eligible providers or group practices that fail “to satisfactorily report for CY [calendar year] 2016 solely as a result of the impact of ICD-10 code updates on quality data reported for the 4th quarter of CY 2016.”

Read More
The Role of HIM in MACRA
Dec01

The Role of HIM in MACRA

As providers gear up to meet reporting requirements under MACRA’s new Quality Payment Program, HIM stands to play a prominent role in the transition to value-based care.

Read More
Spooky, Scary: ICD-10 Codes for Halloween
Oct31

Spooky, Scary: ICD-10 Codes for Halloween

From taking the kids trick or treating to putting together the perfect costume or creating your jack-o-lantern masterpiece, Halloween is many people’s favorite time of year… but sometimes there can be some unexpected hiccups in the festivities.

Read More
CMS Releases MACRA Final Rule
Oct14

CMS Releases MACRA Final Rule

The Centers for Medicare and Medicaid Services (CMS) released its hotly anticipated 2,400-page Medicare Access and CHIP Reauthorization Act (MACRA) Final Rule on Friday. The rule, now open for comment, finalizes the new payment and healthcare quality reforms for those physicians seeking reimbursement for services by Medicare.

Read More