HHS Finalizes New Payment System for Medicare Providers

Program is focused on moving payment systems to reward high-value, patient-centered care. The Department of Health & Human Services (HHS) today announced the finalization of a landmark new payment system for Medicare clinicians. According to HHS, the rule finalizes policies to improve physician and other clinician payments by changing the way Medicare incorporates quality measurement into payments and by developing new policies to address and incentivize participation in Alternative [...]

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Community Outreach With Major Health Systems

Modern Healthcare highlights community outreach initiatives by major health care systems. Maintaining not-for-profit tax status requires systems to provide community benefit which has been done in the past by giving uncompensated and charitable care. According to the article, "Expectations that the ACA-driven reduction in charitable care would force the nation's largest not-for-profit healthcare systems to step up their investment in community-based prevention programs have yet to be [...]

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New York Hospitals Must Update Patient Rights Postings

New York hospitals will soon be required to update their patient rights and responsibilities notices with information regarding surprise bills, the independent dispute process and caregiver designation.  The notification requirements follow other recent changes in New York’s patient rights law pertaining to consumer protections against surprise medical bills and the ability to designate a caregiver following discharge. The legislation, signed by the governor in mid-August, requires [...]

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ICD-10 Flexibility Program Concludes October 1

As the U.S. health care system moves to the International Classification of Diseases, 10th Revision – ICD-10, the health care industry must start using updated codes by October 1, 2016. Recognizing providers may need help with the transition, CMS has established an ICD-10 Ombudsman and ICD-10 Coordination Center to help track, triage, and resolve issues. Resource links: ICD-10 Latest News ICD-10 Ombudsman and ICD-10 Coordination Center (ICC) Small physcian practice resources for [...]

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Hospital Quality Star Ratings Published

The Overall Hospital Quality Star Ratings were published today by the Center for Medicaid & Medicare Services (CMS).  Hospital Compare provides information about the quality of care at more than 4,000 Medicare-certified hospitals in the United States. Ratings are based on one to five stars, with five being the highest. The overall rating summarizes up to 64 quality measures reflecting common conditions that hospitals treat, such as heart attacks or pneumonia. CMS delayed publishing [...]

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