This week’s updates include Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the physician fee schedule, and criteria for physician-focused payment models; early implementation results for enhanced enrollment screening of Medicare providers; and more!
Cornerstone Hospital of Bossier City, Louisiana, incorrectly billed Medicare for all claims with a diagnosis of kwashiorkor and received $321,971 in overpayments during a five-year period,
This week’s release of the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM) proposed rule outlines CMS' specific plans for physician payments, pushing forward with its goal to increase value-based payments and unifying its varied quality, value, and EHR programs.
On April 18, CMS issued the much anticipated proposed rule for FY 2017, which included something for everyone, including coding fixes and updates, changes to payment provisions, quality updates, and utilization review changes.
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It’s increasingly critical to provider survival to report services accurately as the healthcare industry continues to move toward improved data mining and cost transparency.
CMS issued the fiscal year (FY) 2017 IPPS proposed rule Monday with updates to several MS-DRG classifications and relative weights. The amount of proposed MS-DRG changes, said Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, director of HIM and coding for HCPro, a division of BLR, in Danvers, Massachusetts, was expected due to the transition to IDC-10.
