CMS

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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Prepare for 2016 Attestation by Reviewing CMS Materials

CMS, PHR /

Review 2016 Reporting Requirements for Secure Electronic Messaging and Public Health Reporting Objectives For certain measures in the CMS EHR Incentive Programs final rule, CMS changed the reporting requirements over time to increase flexibility. CMS provided alternative reporting options and exceptions for providers who are: scheduled to be in an earlier stage of the programs, affected by a significant hardship, or implementing or upgrading certified EHR technology (CEHRT). In 2016 there are changes to the

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Join CMS to Learn More about two of the MIPS Performance Categories

CMS, Webinar /

The Centers for Medicare & Medicaid Services (CMS) invites you to join a webinar on December 13 at 1:30 PM ET to learn more about the Advancing Care Information and Improvement Activities performance categories included in the Merit-based Incentive Payment System (MIPS). During the webinar, CMS will provide the following: Advancing Care Information category overview Improvement Activities category overview Explanation of how the categories intersect (earning Advancing Care Information bonus points with Improvement Activities) Requirements

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New Official CMS Resources for Participation in the EHR Incentive Programs for CY 2017 and Stage 3

CMS, Webinar /

Visit the CMS Website for Updated Information on CY 2017 and Stage 3 Program Requirements The Centers for Medicare & Medicaid Services (CMS) is committed to assisting eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) to participate successfully in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The recently released Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC)

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Development Request Letters for NPI Related Issues

Clearinghouse, Novitas /

Novitas Solutions has identified a problem with additional development request letters, intended for claims with NPI (National Provider Identifier) related issues, not being mailed to customers. This issue impacts claims submitted between 10/05/2016 and 12/02/2016, which would have been rejected, for no response to the development letter. To determine if any of your claims rejected for this particular situation, please review your Explaination of Benefits / Remittance Advice for the code pairs below. Pair One CARC

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