Tag Archives: CMS

AHA shares new resource on ICD-10-CM coding for social determinants of health

AHA successfully advocated changing the requirement for these codes to be based on information documented by all clinicians involved in the patient’s care instead of physician documentation only. Continue reading

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CMS terminates Kansas hospital’s Medicare billing privileges: 5 things to know

CMS revoked Overland Park, Kan.-based Blue Valley Hospital’s Medicare billing privileges April 11, and the hospital is now suing HHS and CMS over the decision. Continue reading

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MIPS Updates: 2018 Eligibility Tool Now Available; CMS Announces ‘Study on Burdens’ for Quality Reporting

The second year of MIPS reporting – the Quality Payment Program (QPP) Year 2 – was just about to enter its fourth month as health care providers were hitting “submit” to meet the deadline for Year 1 QPP reporting. Continue reading

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CMS axes a Medicare Advantage star rating measure: 5 things to know

CMS is removing a star rating unit for Medicare Advantage plans, according to its 2019 Rate Announcement and Call Letter. Continue reading

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CMS Finalizes Medicare Advantage and Part D Changes for 2019 – Medicare Rights Blog

This week, the Centers for Medicare & Medicaid Services (CMS) released the final Medicare Advantage and Part D 2019 Rate Announcement and Call Letter. This is the finalized annual update to Medicare Advantage and Part D programs, which includes payment up Continue reading

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CMS call tomorrow on new ACO model | AHA News

The Center for Medicare & Medicaid Innovation tomorrow will host the first in a series of Open Door Forums on its Next Generation Accountable Care Organization Model. Continue reading

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Judge orders AHA to develop Medicare appeal backlog fixes

Boasberg told AHA last week to provide the court with a list of recommendations to cull the backlog by June 22. HHS will have until July 6 to respond to the suggestions. Continue reading

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With Health Care At Pivotal Crossroads, HHS Pick Could Signal What Path Trump Wants To Take

President Trump’s selection of a secretary of health and human services could be a turning point in a health care debate that has polarized Washington, as he faces a choice of working with Democrats to fix the current system or continuing his so-far faile Continue reading

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With Price out at HHS, talk turns to replacement candidates

By most accounts, the leading candidate is Seema Verma. Some of her actions at the CMS have alarmed the healthcare industry, including the decision to eliminate and scale back some mandatory bundled payment programs and her plan to seek a “new direction” Continue reading

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Heart Device Failure: Medicare Spent $1.5B Over 10 Years To Replace Defective Implants

Medicare paid at least $1.5 billion over a decade to replace seven types of defective heart devices, a government watchdog says. The devices apparently failed for thousands of senior patients. Continue reading

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