Tag Archives: CMS

Consultant: Trump’s choice for HSS, CMS leadership spells trouble for hospitals

With Tom Price leading HHS and Seema Verma at the CMS helm, hospitals should brace for value-based pullback, problems accessing capital. Continue reading

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Push Comes to Shove in the World of Meaningful Use

Over the past decade, Medicare reimbursement has been affected by a combination of MU, e-prescribing and quality reporting programs. All those are now coming together in the unified MACRA/MIPS Quality Payment Program. Continue reading

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“Finally Friday!” ALJ Training Given by OMHA, CMS and MAC

FRIDAY December 2, 2016: “ALJ Training Given by OMHA, CMS and MAC” or We finally get a peek behind the curtain and… maybe this is how Dorothy felt? Get the Handouts Sponsored by The Health Law Partners and ZirMed THIS … Continue reading

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HHS Warns of Phishing Attempt Disguised as Audit Communication

It has come to our attention that a phishing email is being circulated on mock HHS Departmental letterhead under the signature of OCR’s Director, Jocelyn Samuels. Continue reading

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“Finally Friday!” Hospital Appeals Settlements and OIG Work Plan Woes

FRIDAY November 11, 2016: “Hospital Appeals Settlements and OIG Work Plan Woes” or How The Appeals Settlement reminds me of the $5 scam from the movie “Paper Moon” Get the Handouts Sponsored by The Health Law Partners, MAS Coding Solutions … Continue reading

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More Medicare APM Options for Docs

CMS expects to re-open applications for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model and new participants in the Next Generation Accountable Care Organization (ACO) model for the 2018 performance year. Continue reading

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OIG Releases Another Scathing Report on Chiropractic & Medicare

The Office of the Inspector General of the Department of Health and Human Services released a report dated October 2016 entitled: Hundreds of Millions in Medicare Payments for Chiropractic Services Did Not Comply with Medicare Requirements. Continue reading

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CMS Rescinds Erroneous Medicare Nursing Home Policy  || CMA

CMS has rescinded limiting changes to the scope and purpose of Medicare’s SNF coverage. The policy changes, issued this September, misstated and limited nursing home (SNF) coverage and care available under Medicare. Continue reading

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AHA, AAFP: Practices need virtual groups to pool resources under MACRA

Virtual groups that would allow solo physicians and smaller physician practices the ability to pool their resources when it comes to quality reporting and improvement have been pushed back to 2018 under the final MACRA rule released last week, placing sma Continue reading

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MACRA Final Rule Increases Exclusions

The final rule expands the exclusions, and this means that than half of physicians in practices of 10 and under won’t need to participate. Continue reading

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