By Elizabeth Woodcock, Guest Contributor bio According to the Centers for Medicare & Medicaid Services (CMS), flexibility is the purported theme of the QPP Final Rule, which was issued under its official title, the Medicare Program; CY 2018 Updates to the Quality Payment Program; and Quality Payment Program: Extreme and Uncontrollable Circumstance Policy for … [Read more...] about Quality Payment Program (QPP) Final Rule Released November 2
Billing & collections
How to write a strong collection letter
Increasing patient payments improves the practice's bottom line. But how exactly do you motivate patients to pay? To write an effective collection letter, follow these guidelines. • Make it short. Limit the letter to one page. Limit the paragraphs to two sentences. Limit the sentences to 22 words. And limit the words to three syllables. Do this and the message will be … [Read more...] about How to write a strong collection letter
CMS grants exceptions for providers affected by Hurricane Maria
The Centers for Medicare & Medicaid Services (CMS) is granting exceptions under certain Medicare quality reporting and value-based purchasing programs to the following providers located in areas affected by Hurricane Maria, due to the devastating impact of the storm: inpatient psychiatric facilities, skilled nursing facilities, home health agencies, hospices, inpatient … [Read more...] about CMS grants exceptions for providers affected by Hurricane Maria
New Quality Payment Program resources are now available
The Centers for Medicare & Medicaid Services (CMS) has recently posted the following new and updated resources on the Quality Payment Program website: 2018 Self-Nomination Toolkit for QCDRs & Registries:Offers step-by-step instructions for potential Qualified Registry and Qualified Clinical Data Registry (QCDR) vendors to self-nominate to qualify for the 2018 … [Read more...] about New Quality Payment Program resources are now available
CMS reveals new Medicare Card design
The Centers for Medicare & Medicaid Services (CMS) recently gave the public its first look at the newly designed Medicare card. The new Medicare card contains a unique, randomly assigned number that replaces the current Social Security-based number. CMS will begin mailing the new cards to people with Medicare benefits in April 2018 to meet the statutory deadline for … [Read more...] about CMS reveals new Medicare Card design
The countdown for MACRA data collection is ON
By Tina Colangelo bio The last day to start collecting data is October 2, 2017. That is less than a month away. It is crucial to take action now and schedule a MACRA practice assessment. At the very least, these four questions need to be answered: Which payment track will I participate in in 2017, the Merit-based Incentive Payment System (MIPS) or an Advanced … [Read more...] about The countdown for MACRA data collection is ON
2018 Health Insurance Exchanges Issuer County Map
The Centers for Medicare and Medicaid Services has posted an update to the Health Insurance Exchanges Issuer County Map. This map is of projected issuer participation on the Health Insurance Exchanges in 2018 based on the known issuer public announcements through August 23, 2017. Participation is expected to fluctuate and does not represent actual Exchange application … [Read more...] about 2018 Health Insurance Exchanges Issuer County Map
OIG Report: CMS dished out $729.4 million in wrongful EHR incentive payments & we’re going to get that money back
Wrongful payments of Electronic Health Records (EHR) incentives are at the focus of two of the month's biggest stories in health care compliance. The first came down on May 31 when the Justice Department announced that one of the biggest EHR software vendors in the country, eClinicalWorks, had settled false claims charges stemming from allegedly overstating the capabilities of … [Read more...] about OIG Report: CMS dished out $729.4 million in wrongful EHR incentive payments & we’re going to get that money back
Now available: 2017 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals, Schematron, and sample files
The Centers for Medicare & Medicaid Services (CMS) has published the 2017 CMS Quality Reporting Document Architecture Category III (QRDA III) Implementation Guide (IG) Version 1.0 (7/07/2017) for Eligible Clinicians and Eligible Professionals (EPs) Programs with Schematron and sample files. This version replaces the 2017 CMS QRDA III IG for Eligible Clinicians Reporting … [Read more...] about Now available: 2017 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals, Schematron, and sample files
AMA launches campaign to maximize physician success in MACRA
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) promises to reshape how Medicare pays physicians under the Quality Payment Program (QPP). Yet, a survey of 1,000 practicing physicians who have been involved in practice decision-making related to QPP shows that fewer than one in four physicians feel well prepared to meet its requirements in 2017, according to a … [Read more...] about AMA launches campaign to maximize physician success in MACRA