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.”

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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.

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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.

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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.

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Commentary: The ICD-10 Saga—Lost Years and Hard Lessons
Aug09

Commentary: The ICD-10 Saga—Lost Years and Hard Lessons

If the 20-year long transition to ICD-10 is any indication of the course of future updates to our basic healthcare data infrastructure, it is important to understand the tactics and motivation behind the policy debate and the campaign to stop ICD-10 implementation—and learn from the hard-won lessons.

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CDI Gains Prominence Under Payment Reforms
Aug03

CDI Gains Prominence Under Payment Reforms

The Centers for Medicare and Medicaid Services (CMS) goal of tying 90 percent of reimbursement to quality improvement programs by 2018 means clinical documentation improvement (CDI) initiatives are going to be central to helping organizations succeed in the alphabet soup of reforms. In the keynote presentation titled “Understanding the Continued Evolution of CDI” during the second day of AHIMA’s Clinical Documentation Improvement Summit, Cheryl Ericson, MS, RN, CCDS, CDIP, from DHG Healthcare, said providers need CDI to “keep up with the Joneses” due to this change in reimbursement.

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