Articles related to Medicare


The State of Senior Health
The State of Senior Health

As families gather the generations together for the holidays, it's a good time to reflect on the health status of the community's most senior members.

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Keeping PACE with the Continuum of Care
Keeping PACE with the Continuum of Care

PACE programs take a holistic approach to senior care within the continuum to craft individualized plans that allow older adults to thrive within their own community.

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Proposed Changes to MIPS Are Tame this Year
Proposed Changes to MIPS Are Tame this Year

"The new changes in the 2018 reporting period are actually not terribly drastic," says Joni Wyatt, MHA, MHIA, CPHIMS, FHIMSS, with Kassouf & Co about the Merit-based Incentive Payment System (MIPS).

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In Case of Emergency
In Case of Emergency

On Sept. 8, 2016 the final rule Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers was published in the Federal Register. By Nov. 16, 2017, providers and suppliers must be in compliance.

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Who's Ready for MACRA?
Who's Ready for MACRA?

With the 2017 reporting window rapidly closing, a recent AMA/KPMG survey finds less than 25 percent of physician decision-makers feels 'well prepared' to meet requirements.

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Understanding the Merit Based Incentive Payment System
Understanding the Merit Based Incentive Payment System

Starting in 2019, Medicare's push toward value-based reimbursements will be within reach of the finish line. "It can sound terrifying," says Joni Wyatt, MHA, MHIA, CPHIMS, FHIMSS with Kassouf & Co. "But most practices have already done the work."

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Easing into MACRA
Easing into MACRA

On September 8th, Medicare announced two more ways to participate in the upcoming shift to the Medicare Access and CHIP Reauthorization Act (MACRA). "There are four different payment programs now, since the release of the pick-you-pace model," says Carrie Gulledge, RHIA, director of EHR with MediSys. "They allow providers to test the waters with their toe or jump all in."

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CMS Final Rules Strip Down Meaningful Use
CMS Final Rules Strip Down Meaningful Use
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MACRA: What’s Replacing the Sustainable Growth Rate
MACRA: What’s Replacing the Sustainable Growth Rate
The annual nail-biting over potentially drastic cuts in Medicare physician fees ended last April with the repeal of the Sustainable Growth Rate. In its place will be the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).
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Reimbursements that Can Quickly Raise Revenue
Reimbursements that Can Quickly Raise Revenue

With just two Medicare exam codes, a physician raised her revenue by $45,320. “So many services that patients are eligible for, like preventative care visits, don’t get utilized by providers, and many are already performing the services,” says Julie Thompson, billing supervisor at MediSYS.

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CMS Releases ACO Final Rules, Deadlines Loom
CMS Releases ACO Final Rules, Deadlines Loom

Two tracks for Shared Savings Accountable Care Organizations

The final regulations governing Medicare accountable care organizations were released by the Centers for Medicare and Medicaid Services in October, and they represent a sea change in healthcare’s future...

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