As a number of Middle Eastern countries like the United Arab Emirates transition from a single payer system to one that’s privatized with multiple payers, coding systems are increasingly being used for reimbursement there.
While MACRA was signed into law in 2015, the Centers for Medicare and Medicaid Services has released updates to it and relaxed other portions of it. Staying on top of current changes and monitoring potential future updates requires more effort from providers.
CMS announced this week that it is eliminating two new payment models entirely, the Episode Payment Model and the Cardiac Rehabilitation incentive payment model, and easing requirements for the Comprehensive Care for Joint Replacement model.
“This year’s takedown features a large-scale federal and state partnership to combat health care fraud and the opioid epidemic,” according to the Office of Inspector General.
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.
Scrutiny of coding compliance in ambulatory surgery centers (ASCs) from both Medicare and private payers has been on the rise in recent years.