Getting Specific with the Unspecified
Feb14

Getting Specific with the Unspecified

What should providers do to avoid unnecessary denials?

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CMS Backtracks Value-Based Care Models

A final rule released by CMS on November 30 officially canceled both the Episode Payment Model and the Cardiac Rehabilitation Incentive Payment Model.

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MIPS 2018: High Priority Considerations
Dec07

MIPS 2018: High Priority Considerations

This brief online article will review selected aspects of MIPS with an emphasis on decisions that should be made in the near term.

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To Code or Not To Code
Nov08

To Code or Not To Code

The Centers for Medicare and Medicaid Services’ Risk Adjustment model is not new. However, Hierarchical Condition Categories (HCCs) seem to be this year’s buzz word.

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Hospital Groups to Sue CMS Over Slashed Drug Payments

Three leading US hospital associations are suing the CMS in response to a final rule slashing the 340B Medicare Drug Pricing Program by $1.6 billion.

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