By Charlie Goldberg – Upon returning home from last month’s Medicaid Enterprise Systems Conference in Chicago, I took the opportunity to reflect on how things have changed since attending the conference in 2002 and how CMS, states and vendors continue to face…
If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes your MIPS final score and payment adjustment factor(s), are now available for review on the Quality Payment Program website.
The 2019 QPP Exception Applications for the Promoting Interoperability performance category and Extreme and Uncontrollable Circumstances for the MIPS are now available on the QPP website.
CMS is announcing plans to update the quality measurement methodology of the Overall Hospital Quality Star Ratings located on CMS’ popular Hospital Compare website in 2021. In the interim, CMS will next refresh the Star Ratings using…
CMS released two reports, the Early 2019 Effectuated Enrollment Report and the Trends in Subsidized and Unsubsidized Enrollment Report. These reports provide information on the stability of the individual health insurance market during the 2018 plan year…
Operating Rules message highlights operating rules for the Electronic Funds Transfer and Electronic Remittance Advice transactions. An EFT is the electronic message that plans use to order funds to be electronically transferred to a provider’s bank account.
The Centers for Medicare & Medicaid Services is proposing historic changes as a result of President Trump’s recent Executive Order on price and quality transparency that lays the foundation for a patient-driven healthcare system.
The Centers for Medicare & Medicaid Services is proposing major policy changes to ensure clinicians spend more time providing high-value care for patients instead of filing cumbersome paperwork.
CMS has released a new infographic with step-by-step instructions for how to file a complaint about potential noncompliance with HIPAA Administrative Simplification requirements.
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