News

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.

Q: You previously talked about drugs with pass-through status beginning in April, but are there any other items with changes in the OPPS update? 

This week’s updates include quarterly announcement of interest rate change; long term care and IPPS reclassification interim final rule; and more!

HIM Briefings is conducting its annual benchmarking survey on HIM director and manager salaries, and we would appreciate your input. Please take a few moments to complete this survey and enter to win 30% off an HCPro retail product or a complimentary HCPro webcast. Click here to take the survey.

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.

Q: What should the utilization review committee look for when an inpatient stay is less than two midnights?

Q: What should case managers do when a patient lacks decision-making capacity but has no guardian or power of attorney?

Major changes in rural health clinic billing requirements has created significant problems processing those claims. Read an expert's take on the current issues facing rural health clinic revenue professionals.