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Blog posts tagged with CMS

  • 12 things you should know about the final MACRA rule 1

    Jim Brulé
    November 13, 2017

    On November 2, the CMS released the final rule for the Quality Payment Program (QPP), established by MACRA. This final rule with comment period holds a few surprises, but mostly delivers what was proposed last spring. Here are a few of the highlights. Read more…

  • Top 10 client stories of 2016

    Ann Marie Beasley
    December 22, 2016

    Our clients are making a difference every day achieving success in delivering smarter health care. Their stories inspire us and, judging by blog readership, they inspire our readers too. Each year, we round up the most-shared, most-read client stories on the blog—prime examples of healthcare leaders achieving the vision of creating open and connected communities. Here are the top ten for 2016. Read more…

  • MACRA 101: What you need to know about Advanced APMs

    Jim Brulé
    December 12, 2016

    The third and final installment in our MACRA 101 blog series, this post dives into the details about Advanced Alternative Payment Models (APMs.) Participants that choose the optional APM track are agreeing to higher risk but also have the potential for higher potential reward than their counterparts in the default MIPS track. Read more…

  • MACRA 101: What you need to know about MIPS

    Jim Brulé
    December 06, 2016

    The second installment in our MACRA 101 blog series, this post dives into the details of the Merit-based Incentive Payment System (MIPS). The Centers for Medicaid and Medicare (CMS) estimates that of the 712,000 Medicare Eligible Clinicians (ECs) that will participate in the QPP, about 87% will default to the MIPS track in the initial years. It has lower risk but also lower incentives, as it was crafted by Congress to ultimately be the less attractive option. Read more…

  • MACRA options: Pick your path, but prepare for full participation

    Jim Brulé
    September 13, 2016

    Editor’s Note 12/2/2016: In October, the Center for Medicare & Medicaid Services (CMS) issued MACRA’s QPP Program’s final rule, which goes into effect Jan. 1, 2017. Allscripts is committed to helping healthcare organizations stay ahead of these upcoming requirements. Read more here: MACRA 101: We have the final rule for the QPP…now what? Read more…

  • Busting 5 myths about revenue cycle management services

    John Lauraitis
    April 19, 2016

    Today there are many steps to processing claims, and each one is an opportunity to gain or lose money. Practices are weighing the pros and cons of different approaches to managing their revenue cycle, including relying on experts from outside their organizations. Arbor Family Medicine (Westminster, Colorado, U.S.A.) Office Manager Mikie Gonzales talked about her experience with Allscripts Revenue Cycle Management Services™ (RCMS) in a recent interview: Read more…

  • Finding charges you don’t know you’re missing

    John Lauraitis
    February 11, 2016

    When your mission is to take care of hearts, all other tasks pale in comparison – especially billing. Cardiovascular Consultants Medical Group (CCMG) has served patients in the greater Los Angeles area for more than 50 years, establishing it is the oldest cardiology practice in the community. Like many physician practices, CCMG was facing challenges such as rising costs, declining reimbursements and evolving government standards – all while providing high-quality care for patients. Also, like many Read more…

  • What the Comprehensive Care for Joint Replacement (CJR) rule means for hospitals

    Matthew Fusan
    December 01, 2015

    On November 16, the Centers for Medicare & Medicaid (CMS) published the Comprehensive Care for Joint Replacement (CJR)* final rule, marking a significant milestone in the advancement toward value-based care. “Today, we are embarking on one of the most important steps we will take to improve the quality and value of care for hundreds of thousands of Americans who have hip and knee replacements through Medicare every year,” said Sylvia Burwell, secretary of Health and Human Services. Read more…

  • The hidden costs of regulatory fatigue in physician practices

    Libby Moore
    May 19, 2015

    The scramble to keep up with a rapidly evolving industry is taking its toll on physician practices. Regulatory compliance requires a lot of rigor on multiple fronts, including Meaningful Use, Physician Quality Reporting System (PQRS), Patient-Centered Medical Home (PCMH) and electronic prescription of controlled substances (EPCS). These requirements and others are causing general fatigue. For example, according to the Top 15 challenges facing physicians in 2015, about eight out of 10 physicians feel they are overextended or working at full Read more…

  • Speak now on proposed Meaningful Use rules, or forever hold your peace

    Jim Brulé
    May 14, 2015

    The healthcare industry is hard at work reviewing recent significant regulatory developments from the U.S. Department of Health & Human Services. We can be certain that elements of these proposals will change when the final versions come out, but nonetheless, there are some big ideas to process in each of them. We’re in the midst of a 60-day public comment period. Here’s a summary of the big three proposed rules from Centers of Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Read more…

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