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CMS Field Testing to Evaluate MACRA Episode-Based Cost Measures     

Posted Nov 1, 2017

Field Testing of Episode-Based Cost Measures

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The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, is conducting a field test for eight episode-based cost measures from October 16 to November 15, 2017. This is before considering their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP). During the field test, affected clinicians may access confidential feedback reports with information about their performance on these new measures, which CMS will use to contemplate measure refinements.

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Healthcare News

5 Key Concepts for Payor Reform in Spine Surgery

Posted Aug 30, 2017

Payor Reform Opportunities for Spine Surgery

A recent article published in Clinical Spine Surgery observed payor reform opportunities for spine surgery. The article, written by Jason Scalise, MD, and David Jacofsky, MD, focuses on bundled payments, and the demands for spine surgery to implement bundled payment strategies. Spine procedures are projected to increase dramatically due to age demographics and other population factors. Substantial focus is being put on this division of musculoskeletal care to find a way to drive consistency and value. The trends and increasing pressures by government and commercial payors to drive accountability to the level of the surgeon should not be thought of as a passing phase by spine surgeons. Below are five key concepts for payor reform in spine surgery from the article.

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Healthcare News

House Passes Medical Malpractice Reform Bill

Posted Aug 30, 2017

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Protecting Access to Care Act of 2017

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Converting your Top Ortho ICD9 Codes to ICD10

There are many orthopedic coding that will come with the switch from ICD-9 to ICD-10.This free guide will help you understand ICD-10, prepare for it, and give you the resources to guide your transition.

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CMS Plans to Cut Mammography Reimbursements

Posted Jun 19, 2017

 

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CMS Proposed Cuts to Mammography Reimbursements

Due to be released in early July, the CMS will likely propose a 50 percent cut to the technical component of mammography reimbursement in the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule. According to industry experts, cutting down mammography reimbursements could potentially drive down access to a mammography. As a result, imaging organizations are raising questions about outdated reimbursement formulas in an effort to prevent the cuts from happening.

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Healthcare News

Imaging Practices Need to Establish CDS Before January Deadline

Posted Jun 19, 2017

 

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Imaging Clinical Decision Support (CDS) Mandate

In the Protecting Access to Medicare Act (PAMA) of 2014, Congress mandated that ordering providers consult appropriate use criteria (AUC) through electronic clinical decision support (CDS) mechanisms when ordering outpatient advanced imaging exams for Medicare patients. Imaging practices are running out of time to incorporate AUC into clinical workflows before the Protecting Access to Medicare Act (PAMA) requires it in 2018. The CDS mandate has a deadline set for January 1, 2018 for referring providers to begin consulting CDS when placing advanced outpatient imaging orders, and for furnishing providers to submit documentation of CDS use on Medicare claims for reimbursement.

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