Electronic Health Records

Centers for Medicare & Medicaid Services

MIPS Requirements Could Be Waived for Certain Clinicians

July 2, 2018 - The Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration is being advanced, which would waive Merit-Based Incentive Payment System (MIPS) requirements for some clinicians, CMS announced last week. The MIPS requirements would impact clinicians sufficiently participating in certain Medicare Advantage plans that involve taking on risk.  “The MAQI...


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Former Rep. Fleming Named to HHS Health Technology Post

by Kyle Murphy, PhD

A former Louisiana congressman has accepted a position within the Department of Health & Human Services (HHS) that could impact the Office of the National Coordinator for Health Information Technology (ONC). According to NOLA.com,...

Seema Verma Confirmed to Serve as New CMS Administrator

by Kate Monica

Seema Verma, SVC, Inc Founder, CEO and President, was confirmed yesterday as the new administrator of the Centers for Medicare & Medicaid Services (CMS) under the Trump administration. “CMS is a $1 trillion agency and covers...

Rep. Tom Price Confirmed as Next HHS Secretary

by Kyle Murphy, PhD

Representative Tom Price, MD, (R-GA) is the new head of the Department of Health & Human Services. After weeks of debate, the Senate completed a vote in the early hours of February 10, one split perfectly along party lines: 52 to 47...

Slavitt Addresses How MACRA Implementation Supports Medicare

by Sara Heath

In an address to the MACRA MIPS/APM Summit, CMS Acting Administrator Andy Slavitt commented on MACRA implementation, describing how the agency will use it to “keep the promise of Medicare.” In describing the formation of the...

Tracking MACRA’s Progress toward Industrywide Implementation

by Sara Heath

Since the Centers for Medicare and Medicaid Services announced its draft implementation for the Medicare Access and CHIP Reauthorization Act (MACRA) at the end of April, there has been a flurry of industry opinions, rule clarifications,...

Home agency, chiropractor, physician accused of Medicare fraud

by Jennifer Bresnick

A home healthcare agency, a chiropractor and his personal trainer wife, and a physician accused of issuing false prescriptions are among this month’s crop of convicted Medicare fraudsters caught for bilking the agency out of hundreds...

Medicare RAC recoveries down 22% due to program cuts

by Jennifer Bresnick

The ongoing suspension of Medicare Recovery Audit Contractors’ (RACs) ability to monitor and audit claims has produced a 22% decline in funds recovered by the program, says a new report from CMS.  In the third quarter of fiscal...

Study: Electronic health records don’t increase Medicare fraud

by Jennifer Bresnick

Fears about providers taking advantage of EHR technology to commit Medicare fraud may be unfounded, according to a study published online this week in Health Affairs.  Concerns over intentional and inadvertent fraud, committed by...

OIG focuses on Medicare fraud, CMS vulnerabilities in report

by Jennifer Bresnick

In its latest semi-annual report to Congress, the Office of the Inspector General (OIG) details its healthcare fraud prevention activities and a continuing focus on eliminating waste, inefficiencies, and improper conduct within the federal...

CMS proposes changes to hospital inpatient payment programs

by Kyle Murphy, PhD

Updates will be coming to the Medicare hospital inpatient prospective payment systems (IPPS) as a result of a rule proposed by the Centers for Medicare & Medicaid Services (CMS). To be published two weeks from now in the Federal...

CMS final rule to increase Medicare payments to FQHCs

by Kyle Murphy, PhD

Federally qualified health centers (FQHCs) could be in line for a significant increase their payments from the Centers for Medicare & Medicaid Services (CMS). A final rule to be published on the Federal Register later this week aims to...

Midnight deadline looms for Medicare meaningful use EPs

by Kyle Murphy, PhD

The Office of the National Coordinator for Health Information Technology (ONC) is reminding eligible professionals in the EHR Incentive Program for Medicare of an important attestation deadline that takes place tonight. EPs have 11:59 EDT...

Clinic biller nabbed for $400,000 Medicare fraud

by Jennifer Bresnick

A billing specialist at a medical clinic in Florida has been found guilty of ten counts of healthcare fraud for his part in a scheme to bilk Medicare out of $2.5 million.  Cecilio Pelaez Delgado was employed by Viton Therapy Medical...

Here’s how to volunteer for the ICD-10 end-to-end test pilot

by Jennifer Bresnick

The news that CMS will be conducted a limited amount of ICD-10 end-to-end testing this summer was greeted with widespread approval, but also generated a number of new questions.  Who will be selected for the test?  How...

“Two-midnight” Medicare bill brings ire, approval, confusion

by Jennifer Bresnick

CMS has long since learned that it can’t please everyone all the time when it comes to healthcare reform, and its newly released guidance for the oft-delayed “two-midnight” rule is proving the maxim true once again. ...

HHS FY 2015 budget to reduce Medicare-Medicaid fraud, waste

by Kyle Murphy, PhD

The Department of Health & Human Services has release its budget for fiscal year 2015, which the department claims is both “fiscally responsible” and aims to strengthen its two most important programs — and doing so...

Epic, ICD-10, government shutdown are hottest topics of 2013

by Jennifer Bresnick

Healthcare is in the middle of a massive shakeup, and there are plenty of big stories to go along with the changes.  From Dr. Farzad Mostashari’s departure from the ONC to the Stage 2 and Stage 3 meaningful use delay, the...

Dec. 31: EHR Incentive Program reporting deadline

by Nicole Freeman

The Centers for Medicare and Medicaid Services (CMS) is reminding eligible professionals (EPs) of the upcoming EHR Incentive Program reporting deadline December 31. EPs must attest to meaningful use to avoid a 2015 payment...

Avoiding EHR Payment Changes in 2015

by Nicole Freeman

The Centers for Medicare and Medicaid Services (CMS) has issued a reminder to professionals participating in the Medicare EHR Incentive Program to review their meaningful use practices to avoid payment adjustments in 2015. Here is the...

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