CMS has added new performance information to the Physician Compare website. Medicare patients and caregivers are able to use the Physician Compare website to search for and compare clinicians and groups who are enrolled in Medicare, as shown in this patient story video. The overarching goals of Physician Compare are, 1) to help people with Medicare make informed health care … [Read more...] about 2017 QPP performance information is now available on Physician Compare
Health care reform
CMS releases preliminary data on 2018 Quality Payment Program participation
The Centers for Medicare & Medicaid Services (CMS) has published a blog post and released an infographic to share preliminary participation data for the Quality Payment Program during 2018. Key findings include: Overall, MIPS participation rates increased between 2017 and 2018 from 95 percent to 98 percent, respectively. Small practices participation increased … [Read more...] about CMS releases preliminary data on 2018 Quality Payment Program participation
Putting the patient first
By Nick Hernandez bio Medical practices should take a measured approach to the future of their practice, keeping in mind that patients define value as appointment access and availability. With the changes and incentives (often misaligned incentives) in play as a result of healthcare reform, many hospitals and provider groups are hedging their bets that bigger is … [Read more...] about Putting the patient first
New CMS competition seeks innovative AI solutions to better predict healthcare outcomes
The Centers for Medicare & Medicaid Services (CMS) has announced a new competition that aims to accelerate innovative solutions to better predict health outcomes and improve the quality of care for patients. "The Artificial Intelligence Health Outcomes Challenge is an opportunity for innovators to demonstrate how artificial intelligence tools—such as deep learning and … [Read more...] about New CMS competition seeks innovative AI solutions to better predict healthcare outcomes
You have less than one month to submit MIPS Year 2 (2018) Data for the Quality Payment Program
The Centers for Medicare & Medicaid Services (CMS) has officially opened the data submission period for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program. Data can be submitted and updated any time until 8:00 p.m. ET on Tuesday, April 2, 2019. CMS Web Interface users need to report their … [Read more...] about You have less than one month to submit MIPS Year 2 (2018) Data for the Quality Payment Program
Compliance officers must establish credibility with consistent, well-documented decision-making
One of the tougher issues a non-lawyer compliance officer faces is a challenge to their decisions and recommendations by other members of the management team. This happens more often when the person is new to the company or the position. In a large proportion of these challenges, the challenger cites a lawyer's comments or an interpretation they saw in a newsletter or on the … [Read more...] about Compliance officers must establish credibility with consistent, well-documented decision-making
What every medical office manager needs to know about the Sunshine Law
Another product of the Affordable Care Act, the Sunshine Law (also called Open Payments) begins implementation this year. The law requires manufacturers and group purchasing organizations publicly report certain transfers to or transactions with physicians. The goal is transparency and avoiding improper influence of physician's prescribing practices. Physicians should make sure … [Read more...] about What every medical office manager needs to know about the Sunshine Law
CMS finalizes changes to the Medicare Physician Fee Schedule and Quality Payment Program
Last week, the Centers for Medicare & Medicaid Services (CMS) finalized proposals that it says will address provider burnout and provide clinicians immediate relief from excessive paperwork tied to outdated billing practices. The final 2019 Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) rule also updates Medicare payment policies to promote access to … [Read more...] about CMS finalizes changes to the Medicare Physician Fee Schedule and Quality Payment Program
Reminder: Comments for QPP Year 3 NPRM due September 10
On July 12th, the Centers for Medicare & Medicaid Services (CMS) released proposed changes to its Physician Fee Schedule and Quality Payment Program (QPP). CMS is seeking comment on various QPP provisions in the NPRM. Comments are due by 5:00 pm ET on September 10. You must officially submit your comments in one of the following ways: Electronically, through … [Read more...] about Reminder: Comments for QPP Year 3 NPRM due September 10
CMS proposes changes to modernize Medicare and aid the doctor-patient relationship
The Centers for Medicare & Medicaid Services (CMS) has proposed changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules are intended to help restore the doctor-patient relationship by empowering clinicians to use their … [Read more...] about CMS proposes changes to modernize Medicare and aid the doctor-patient relationship