Healthcare in America is in flux. Although tabled on Friday, March 24, the proposed American Health Care Act (AHCA) – the attempted replacement for the Affordable Care Act (ACA) –nevertheless raises many healthcare policy questions and uncertainty regarding the status of previous pay-for-...Read More »
During its four-year existence, the National Quality Forum’s Measure Applications Partnership (NQFMAP) repeatedly suggested adding new measures or improvements to existing performance measures. This year, however,...Read More »
The U.S. Justice Department is investigating several health insurers over whistle-blower allegations that they fraudulently collected millions in Medicare payments by claiming patients were sicker than they actually were.Read More »
by James S. Kennedy, MD, CCS, CDIP, CCDS
CMS plans to announce a complete revision of the CC/MCC structure in next year’s proposed fiscal year (FY) 2019 inpatient prospective payment system (IPPS) rule. CMS notes that over the past several years, there has been a steady increase...Read More »
Information management in EHRs. Implementation and use of clinical decision support. Test result reporting and follow-up. These concerns topped ECRI Institute’s list of patient safety concerns for 2017,...Read More »
CMS approved Performant, the Recovery Audit Contractor (RAC) for Region 1, to begin review activity as of Friday, March 10, according to the RAC Monitor. Read More »
