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RevCycleIntelligence.com

 •  August 10

Just recently, CMS released a proposed rule that would modify Quality Payment Program requirements for the 2018 performance period. If finalized, some major changes to the MIPS track would include increased participation thresholds, an extended transitional period, and additional points for clinicians treating medically complex patients as well as...

CMS pays providers for furnishing routine home care as part of a palliative care plan using an all-inclusive daily rate based on the average visit patterns of hospice providers updated each year. But the Medicare reimbursement structure does not require in-person visits with routine home care and hospice providers are left to decide if the visits...

uncovered. The analysis of 180,000 Kaiser Permanente Georgia patient cases treated for neck or back pain and acute respiratory infections between January 2006 and March 2008 revealed that primary care providers ordered significantly more low-value and expensive services. “In our study, the pattern of ancillary services use suggests that NPs/PAs...

RevCycleIntelligence.com

 •  May 27, 2016

A CMS proposal to require a prior authorization screening for every home health service would be an administrative nightmare and may produce barriers to care for needy patients, a group of 116 lawmakers said in a letter to CMS this week. "This demonstration project imposes costs on patients, providers and taxpayers,” the letter said. “Delaying...

RevCycleIntelligence.com

 •  October 5, 2015

In the Cost and Revenue Survey: 2015 Report Based on 2014 Data, MGMA found a 12 percent increase in spending on total operating costs