The recently released report from the Government Accountability Office (GAO) clarifies that the officials are looking for a much better or more relevant unified quality measures across all the...
ICD-10 replaced ICD-9 coding system last year, and October 1, 2016 marked one year of the substitution. Reports say that the latest ICD-10 coding model increased the amount of...
The Centers for Medicare and Medicaid Services has released updates to their different Medicare payment systems. In a recent move, CMS published the final rules for Hospital Outpatient Prospective...
The final rule was released by the CMS on October 14, 2016. This rule will implement a new Quality Payment Program (QPP) established by the Medicare Access and CHIP...
Recent reports say that one-third of the ECs will be exempted from MIPS reporting, because these ECs fall below the “low volume threshold.” This means that those ECs who...
It is reported that ACA open enrollment is advancing even though many of the past challenges linger on, and not just the customers, but the insurers too are facing...
Customers started to shop for health insurance on federal and state exchanges that were formed under the Affordable Care Act (ACA) on November 1 for the insurance coverage that...
The federal government is hoping to build upon the successes of their pilot diabetes prevention program, as they are moving forward with their plan to expand the prevention program...
The latest data released by the Department of Health and Human Services indicates that the median monthly premium for the second-lowest silver plan in the federal marketplace will significantly...
CMS has released their final rule for 2017 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. This rule implements site neutral payment options for the Bipartisan...
The CMS has decided to temporary discard all new proposals from health insurance companies, who are seeking to enroll their Medicaid or commercial patients directly into their own Medicare...
The American Medical Association (AMA) recently released many online tools that are aimed to help physicians through pending Medicare payment and delivery changes. This will improve their opportunity for...
A recent report issued by the Department of Health and Human Services (HHS) claims that the amount paid by the Medicare to chiropractors in 2013 for spinal manipulation was...
Health officials from Carequality, which is an initiative under the Sequoia Project, revealed that more than 150,000 clinicians, spread across 11,000 clinics, and five hundred hospitals, are live on...
The Centers for Medicare & Medicaid Services (CMS) recently announced new arrangements for payments that will be qualified as Advanced Alternative Payment Models (APMs) under the Quality Payment Program...
An analysis conducted on publicly available hospital data revealed that the financial penalties for US hospitals in the year 2014 would have been considerably changed, if the Centers for...
The Department of Health and Human Service recently issued the final rule for the Merit-based Incentive Payment System. Though it was received with mixed reviews, the final rule actually...
The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) recently issued a joint guidance letter to the local and state child welfare systems, highlighting...
The final MACRA rule aims to reform Medicare payment model and offer more flexibility to physicians by simplifying some difficult data reporting requirements. However, some experts argue that the...
It is the time of the year when Medicare beneficiaries in the US are allowed to make changes to their existing health insurance plans. They are also allowed to...