Archive for October 2016
Long-awaited rule for Quality Payment Program unveiled
The U.S. Department of Health and Human Services recently issued its long-awaited final rule on the Quality Payment Program (QPP) under the Medicare Access and CHIP Reauthorization Act (MACRA). The new rule is designed to move the healthcare industry away from a volume-based system to value-based care models. (Read: see fewer patients, provide better quality…
Read MoreOIG report finds claims filed on behalf of the dead
With Halloween just around the corner the HHS’ Office of the Inspector General just released a report showing that during a two-year period The Centers for Medicare & Medicaid (CMS) paid out nearly half a million dollars for claims made on dead people. Federal law requires CMS to establish policies and implement claim edits to…
Read MoreThe end to ICD-10 code flexibility: How are you handling it?
It may be hard to believe, but ICD-10 recently celebrated its first birthday. So we thought it only fitting that we post this blog on 10-10. The change from ICD-9 to ICD-10 meant the addition of thousands of more very specific, and in some cases, very unusual diagnostic codes. Examples include: being pecked by a…
Read MoreCMS puts HHA pre-claim review process on hold in Florida, other states
Plans by the Centers for Medicare & Medicaid Services (CMS) to begin a pre-claim review process for home health services have been put on hold for now. The demonstration program was to launch this month (October) in Florida and Texas, but CMS announced a postponement, noting that additional education efforts were needed before moving forward.…
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