Category Archives: Medical Billing

CMS Issues Proposed Rule to Increase Patients’ Health Insurance Choices for 2018

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The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule for 2018, which proposes new reforms that are critical to stabilizing the individual and small group health insurance markets to help protect patients. This proposed rule would make changes to special enrollment periods, the annual open enrollment period, guaranteed availability, network adequacy rules, essential community providers, and Continue reading CMS Issues Proposed Rule to Increase Patients’ Health Insurance Choices for 2018→

New Participants Join Several CMS Alternative Payment Models

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Today, the Centers for Medicare & Medicaid Services (CMS) announced over 359,000 clinicians are confirmed to participate in four of CMS’s Alternative Payment Models (APMs) in 2017. Clinicians who participate in APMs are paid for the quality of care they give to their patients. APMs are an important part of the Administration’s effort to build a system that delivers better care Continue reading New Participants Join Several CMS Alternative Payment Models→

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171,000 EPs are facing MU payment penalties in 2017

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According CMS, 171,000 EPs are facing payment penalties in 2017 for failing to meet meaningful use requirements in 2015. While still a sizeable figure, the numbers are down from years previous. In 2016, 209,000 EPs were subject to penalization leading to a 2-percent decrease in Medicare reimbursement, and in 2015 there were almost 257,000 professionals incurring these adjustments. Though there Continue reading 171,000 EPs are facing MU payment penalties in 2017→

CMS announces additional opportunities for clinicians under the Quality Payment Program

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Today, the Centers for Medicare & Medicaid Services (CMS) announced more new opportunities for clinicians to join Advanced Alternative Payment Models (APMs) to improve care and earn additional incentive payments under the Quality Payment Program, which implements the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Beginning in January and February 2017, CMS will open applications for new rounds Continue reading CMS announces additional opportunities for clinicians under the Quality Payment Program→