U.S. District Court Judge Michael Fitzgerald agreed to dismiss some of the claims against UnitedHealth regarding the risk adjustment payments made before 2009. However, other claims were left standing, including those which allege that after conducting chart reviews and finding invalid codes,...Read More »
Providers who still have 2017 claims to submit for the quality performance category of MIPS need to submit them as soon as possible. While submissions must be in the national Medicare claims data warehouse by March 1 in order to be analyzed, clinicians will be financially penalized if they fail...Read More »
Last month, CMS announced its plan to launch a new voluntary bundled payment model—the Bundled Payments for Care Improvement Advanced (BPCI Advanced)—but neglected to include a full package of...Read More »
Only 12% of eligible hospitals signed up for CMS’ Bundled Payments for Care Improvement (BPCI) Model 2 initiative and 47% of them dropped out completely within two years, according to a recent study by ...Read More »
CMS now allows teaching physicians to verify in the medical record any student documentation of E/M services, rather than re-documenting the work.Read More »
Starting this year, CMS plans to conduct an annual call for measures related to the Medicare EHR Incentive Program, the agency announced last week.Read More »
FEATURES 7 Concurrent coding 12 CMS-HCC version 23 released 17 Mortality reviews and publicly reported quality scores 25 Submit questions to Coding...Read More »
by Melissa Varnavas
It’s that time of the year again: time to pull down the tome that is the inpatient prospective payment system (IPPS) final rule and mine its pages for changes relevant to daily CDI reviews. While intimidating at more than 600 pages, the IPPS rule can be broken...Read More »
