Medicare Program: Medicare Clinical Diagnostic Laboratory Tests (CDLTs) Payment System Final Rule Summary
On June 17, 2016, CMS placed on public display a final rule, implementing revisions to the payment methodology for clinical diagnostic laboratory tests (CDLTs) paid under the Clinical Laboratory Fee Schedule (CLFS). The implementation date for the rule is January 1, 2018.
HFMA Comments on CMS’s MACRA Proposed Rule (CMS 5517-P)
HFMA submitted a comment letter to CMS on the MACRA Proposed Rule published in the May 9, 2016, Federal Register.
HFMA Summary: MSSP Revised Benchmark Rebasing Methodology Final Rule
The Centers for Medicare and Medicaid Services (CMS) published a final rule that would make important changes to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.
Executive Summary – Final MSSP Benchmarking Rule
This document summarizes the Centers for Medicare & Medicaid Services's (CMS's) long awaited rule finalizing changes to the Medicare Shared Savings Program (MSSP) benchmark rebasing methodology, published in the June 10, 2016, Federal Register.
HFMA Comments on CMS’s FY17 IPPS Proposed Rule (CMS 1665-P)
HFMA submitted a comment letter to CMS on the FY17 Medicare Program Proposed Rule published in the April 27, 2016, Federal Register.
Executive Summary: CMS MACRA Proposed Rule
Important details of the May 9, 2016, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule are highlighted in this summary.
Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Proposed Rule Summary
This document provides a summary of the proposed rule establishing the Merit-based Incentive Payment System (MIPS) for MIPS eligible clinicians or groups under the Physician Fee Schedule (PFS) and incentives for participation in certain alternative payment models (APMs).
Requests for Health Information on the Rise
Healthcare reform, value-based payment, and increasing audit scrutiny make it increasingly important that hospitals improve their data sharing capabilities.
Using Audits to Improve Compliance, Cut Future Audit Risk
Several steps can help hospitals and health systems leverage audits and their results to increase compliance and reduce financial risks from future audits.
Making ACO Participation Pay Off
Delaware Valley ACO’s emphasis on improving care while lowering costs has proven effective, demonstrated by an increase in members from 5,000 to 200,000 in three years.