New Medicare Cards from CMS

Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare & Medicaid Services (CMS) is trying to prevent fraud, fight identity theft and protect essential program funding and the private healthcare and financial information of Medicare beneficiaries. CMS will issue new Medicare cards with a new […]

CMS Releases Lookup Tool to Help Clinicians Determine their MIPS Participation Status

Clinicians can now use an interactive tool on the CMS Quality Payment Program website to determine if they should participate in 2017. To determine your status, enter your national provider identifier (NPI) into the entry field on the tool which can be found on the Quality Payment Program website at https://qpp.cms.gov/. Information will then be […]

MIPS And The Burden Of Performance Measurement

Physician practices face an enormous administrative and financial burden just to report on health care performance measures. This burden predates MACRA, and the legislation actually streamlines some of the reporting burden by combining three previously separate reporting requirements (Physician Quality Reporting System, Value-Based Payment Modifier, and Meaningful Use) into MIPS. However, physicians and their staff […]

HHS Announces New Medicare Alternative Payment Models to Reward Better Care at Lower Cost

Today, the Department of Health & Human Services finalized new Medicare alternative payment models that continue the Administration’s progress in reforming how the health care system pays for care. These new approaches will shift Medicare payments from rewarding quantity to rewarding quality by creating incentives for hospitals and clinicians to work together to avoid complications, avoid preventable […]

Here are 6 points you must read before you hire your next CDI resource


Many CDI Managers insist on having all their CDI staff onsite. Having all your staff in-house in many instances can be counter productive. Here are 6 points on why you should also consider remote CDI specialists in your staffing mix: You will have access to a much larger talent pool to hire from enabling to you hire better […]

Hospital outpatient departments to be impacted significantly by 2017 OPPS Final Rule from CMS

Center for Medicare & Medicaid Services (CMS) has released its Final Rule for Hospital Outpatient Prospective Payment System  OPPS) for CY2017 with significant implications to hospital outpatient departments. Let me first give you the good news. For CY 2017, CMS is updating OPPS rates by 1.65 percent. The change is based on the projected hospital market basket […]

Front End Speech Recognition: A case of dime wise and dollar foolish?

A new study sponsored by Agency for Healthcare Research and Quality (AHRQ) identified the frequency with which errors occur when physicians use front end speech recognition. ” Critical errors were found in 15 percent of data entered into patients’ electronic health records by physicians using computerized speech recognition technology, according to a pilot study funded […]

Hospital readmission rates are falling across the country

Potentially avoidable hospital readmissions that occur within 30 days of a patient’s initial discharge are estimated to account for more than $17 billion in Medicare expenditures annually. Not only are readmissions costly, but they are often a sign of poor quality care. To address the problem of avoidable readmissions, the Affordable Care Act created the Hospital […]

CMS launches ‘Pick Your Pace’ options for physicians as part of Quality Payment Program

As part of CMS’ move to link physician payments to patient outcomes, the Quality Payment Program put in place by CMS is set to begin on January 1, 2017. CMS has shared plans for the timing of reporting for the first year of the program. It allows Quality Payment Program to allow physicians to pick their […]

Here are 10 questions to ask before you buy CDI software

1)      Does the software minimize data entry? If your CDIS have to enter all the codes and DRGs manually and also analyze that data for reimbursement manually it severely hampers their productivity. You want your team to be more efficient and productive. 2)      Does it come with built-in ICD-10 compliant query templates or do you […]

 
 
 
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