IPPS Provider Reimbursement Update and Sept. 30 Worksheet S-10 Deadline
Some providers could see significant changes to their Medicare reimbursement come October 1, 2017, when the Centers for Medicare & Medicaid Services (CMS) will start paying providers their 2018...
View ArticleMIPS 2017: 15 Minutes to Save Four Percent
As we near the end of 2017, you may think you’ve missed the chance to participate in the Merit-Based Incentive Payment System (MIPS), and thus resigned yourself to a 4% cut in your Medicare Physician...
View ArticleIs CMS Changing Course on Value-Based Payments?
This November, the Centers for Medicare & Medicaid Services (CMS) released a slew of regulations establishing Medicare payment policies for 2018. Some argue the agency is hitting the brakes on...
View ArticleMid-January Deadline for Initial Comments on CMS-Proposed Key Changes to...
The Centers for Medicare & Medicaid Services (CMS) has set a mid-January 2018 deadline for public comments regarding recently published proposed policy and technical changes to Medicare Advantage...
View ArticleWhy All the Fuss About BPCI Advanced?
On January 9, 2018, the Center for Medicare and Medicaid Innovation (CMMI) announced a new voluntary episodic payment model, Bundled Payment for Care Improvement Advanced (BPCI-A). In addition to new...
View ArticleRisking Irrelevance?
Last November, we asked “Is CMS Changing Course on Value-Based Payments?” We posed this question in response to a New York Times article highlighting how the Trump administration was slowing down and...
View ArticleProving the Financial Impact of Chronic Care Management Services
Over the last four years, the Centers for Medicare & Medicaid Services (CMS) has expanded Medicare reimbursement for chronic care management (CCM) services based on the agency’s belief these...
View ArticleMeeting New Medicare Requirements for Implantable Cardioverter Defibrillators
On February 15, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a Decision Memorandum revising the National Coverage Determination (NCD) 20.4 on implantable cardioverter...
View ArticleCMMI’s Next Big Thing: Direct Provider Contracting
Last fall, the Center for Medicare and Medicaid Innovation (CMMI) asked the public to submit recommendations on the agency’s future direction. On April 23, CMMI made public a 4,643-page document and a...
View ArticleUnderstanding Proposed Changes in Hospital Uncompensated Care Payments
The Centers for Medicare & Medicaid Services (CMS) published the 2019 Inpatient Prospective Payment System (IPPS) Proposed Rule April 24, 2018. If finalized, many hospitals are likely to...
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