Author name: wikicmi

BCBS TX Urgent Care Guidelines

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Prior to sending the contract, please confirm that the Urgent Care Center (UCC) meets the guidelines listed below. Extended hours – UCC must be opened weekday evenings until at least 7:00pm. Weekend hours are preferred but not required. Defibrillator – If not physically adjacent to an Emergency Room, UCC must have a defibrillator in the office. Tax ID Number- UCC must have its own provider number and Tax ID number. UCC Summary – UCC must […]

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Prepare for Attestation for the EHR Incentive Programs

Incentive Program /

Review the 2016 Medicare EHR Incentive Program Requirements In 2016, the EHR reporting period is a minimum of any continuous 90 days between January 1, 2016 and December 31, 2016. There is also a 90-day reporting period for CQMs for providers that choose to report CQMs by attestation. The EHR Incentive Programs attestation system will be open from January 3, 2017 to February 28, 2017. Providers must attest by the attestation deadline to avoid a

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New CMS FAQs Provide More Information on the 2017 OPPS/ASC Final Rule

Incentive Program /

New Information Now Available Online about Changes to the EHR Incentive Programs To keep you updated with information on the Medicare and Medicaid EHR Incentive Programs, CMS recently added two new FAQs providing more information on changes to the programs as a result of the CY 2017 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule. We encourage you to stay informed by taking a few minutes to review the new information

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New Payment Models Announced to Improve Cardiac and Joint Care

Cardiology, Reimbursement, Uncategorized /

On December 20, 2016, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models that continue the Administration’s progress to shift Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care to patients at a lower cost. These models will reward hospitals that work together with physicians and other providers to avoid complications, prevent hospital readmissions, and speed recovery. The announcement finalizes significant new policies

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CMS Announces Update on Electronic Clinical Quality Measure (eCQM) Value Sets for 2017 Performance Period

eCQM /

In response to your feedback and in recognition of the large volume of changes introduced into International Classification of Diseases (ICD)-10 in FY 2017, the Centers for Medicare & Medicaid Services (CMS) and the National Library of Medicine (NLM) will update all impacted electronic clinical quality measure (eCQM) value sets for the 2017 performance period. Background On October 1, 2016, new International Classification of Diseases (ICD)-10-CM and ICD-10-PCS code sets went into effect. Updating of

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