View our recorded webinar onCOVID-19 and CMS Changes to Billing Guidelines. Our presenters will explore the latest guideline changes and discuss how to use data insights to drive your future planning. We’ll focus onpotential bottom-line impacts, including: ...
CMS clarified in the updated FAQs that hospitals are not required to use the DR condition code on claims to Medicare fee-for-service to receive an increased IPPS rate. MACs will also start reprocessing claims for Covid-19 hospitalizations submitted prior to the passage of the CARES Act, the ...
CMS must act now to incorporate these two measures. Last week, CMS took a crucial first step byproposing these measuresfor the Hospital Inpatient Quality Reporting Program, which sets rules for Medicare payments to hospitals. Next, it will consider...
For CY 2025, CMS is proposing to adjust its ASC conversion factor to $89.379 for ASCs meeting quality reporting requirements and a conversion factor of $87.636 for ASCs failing to meet those requirements. Hospitals failing to meet the Hospital Outpatient Quality Reporting (OQR) Program repor...
and hospitals. Intervention group organizations received an initial $10 payment per beneficiary to calculate and report ASCVD risk, followed by ongoing cardiovascular care management payments for high-risk (≥30% risk) beneficiaries (18% of all beneficiaries). In year 1, intervention practices received...
CMS COVID-19 Health Care Staff Vaccination Interim Final Rule Update Subscribe On January 13, the U.S. Supreme Court, in aper curiamdecision, lifted a stay that prevented implementation of the theOmnibus COVID-19 Health Care Staff Vaccination Interim Final Rule(Rule) that was issued by CMS ...
Furthermore, Member Experience measures are rising to a rate of 4 for the 2023 star ratings, Wallace said, making up more than half the weight of the overall ratings. This could have major impacts when considering the important roles that plans played during the COVID-19 pandemic...
The Covid-19 Pandemic and CMS Regulatory Reform Impact on THA MetricsRichard Iorio MDAfshin Anoushiravani MDBenjamin Stronach MDC. Lowry Barnes MDXiaoran ZhangDerek Haas MBA
CMS restarts with production and operationsin full compliance with anti-Covid regulations A restart that allows us to continue to provide maximum support to our customers and partners, as we have done in recent weeks and will continue to do, by enhancing digital tools ...
Sivasankaran was involved in another controversial Sprinkler deal which reveals sensitive medical information of citizens. However,later the government put on hold the decision of data sharing to this company. The smuggling,allegedly linked to IT department raises many doubts in the minds of the publ...