In late October, the Centers for Medicare & Medicaid Services (CMS) issued the 2016 Medicare Physician Fee Schedule Final Rule updating payment policies, payment rates, and quality provisions for Medicare services furnished on or after January 1, 2016. The ruling covers a wide range of topics including a number of new policies, payment provisions as well as several quality provisions including updates to the Physician Quality Reporting System (PQRS) and the Physician Value-Based Payment Modifier (Value Modifier). In this post, we will examine the new provision for Advanced Care Planning. 

In late October, the Centers for Medicare & Medicaid Services (CMS) issued 2016 Medicare Physician Fee Schedule Final Rule updating payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2016. CMS finalized a number of new policies including a set of provisions designed to provide a smooth transition from the Value-Based Payment Modifier (Value Modifier) to MIPS.

The transition to ICD-10 was touted as the Y2K of the healthcare industry. After years of preparation and training the industry held its breath as October 1st came and went. But, much like Y2K, the predicted disaster never happened. In fact, according to a new survey by KPMG, 80% of organizations believe they have had a smooth transition to ICD-10. 

Information-rich patient records has made healthcare organizations a prime target for criminal entities. Royal Jay captures the severity of data breaches in a recent infogrpahic highlighting recent statistics from a Ponemon Institute study. Here are some statistics for you to consider: 

In late October, the Centers for Medicare & Medicaid Services (CMS) issued the 2016 Medicare Physician Fee Schedule Final Rule updating payment policies, payment rates, and quality provisions for Medicare services furnished on or after January 1, 2016.

CardiologistsA happy (and financially stable) practice is a practice that maximizes and maintains consistent cash flow. To do that, you must effectively manage your patient and insurance company receivables. A great way to evaluate your performance is through regular practice checkups – or medical practice assessments.

ICD-10 RedAs the east coast braces for Hurricane Joaquin, the US healthcare system has just been hit by a tsunami of code changes. Today, doctors, hospitals and health insurers must start using a new diagnosis code set fondly known as – ICD-10. There is much trepidation surrounding the shift and many unknowns, but the change also brings with it many benefits.

The National Committee for Quality Assurance (NCQA) has released a system that compares health insurance plan ratings based on patient satisfaction, treatment and outcomes. The system allows users to search insurance plans by state, plan name or type, and order their rankings based on combined HCAHPS, Healthcare Effectiveness Data and Information Set measures and NCQA accreditation.

CMSFor those of you hoping the potential government shut-down would postpone ICD-10, don’t count on it. In a media call Thursday, CMS Deputy Administrator Dr. Patrick Conway said CMS is prepared to go forward with the implementation of ICD-10 even if there is a government shutdown.

ICD-10 RedThe following article was originally published on The CMS Blog

By Dr. Bill Rogers, ICD-10 Ombudsman