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Tag archives for cms

The CMS has proposed a 1.4% hike in Medicare payments to skilled-nursing facilities for fiscal 2014, which the agency estimates would increase payments to these providers by about $500 million from 2013 payment levels.

While the CMS’ proposed payment schedule for 2014 includes small increases in Medicare payments for the nation’s acute- and long-term care hospitals, it would change reimbursement for facilities serving high numbers of the uninsured in a way that is…

The Centers for Medicare & Medicaid Services will allow health information from eight databases to be used to identify vulnerable people who might need help during an emergency. It will allow… read more

Reiterating that ICD-10 is an essential component to tracking more detailed healthcare data and strengthening a national health information infrastructure, Denise Buenning, MsM, Deputy Director of the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services, again stated Wednesday that the October 1, 2014 ICD-10 compliance date remains in place. “CMS is dedicated to the transition to ICD-10,” said Buenning at the ICD-10 CM/PCS and CAC Summit sponsored by the American Health Information Management Association (AHIMA). “Given that ICD-10 is essential to greater interoperability, information sharing and ultimately providing better patient care and lowering healthcare costs, we are continuing to move forward with our ICD-10 implementation efforts in full anticipation of the October 1, 2014 compliance date.” ICD-10 is an integral part of CMS’ E-Health initiative, which includes meaningful use, electronic quality measures and payment reform. Buenning said that ICD-10 implementation will make clinical records come alive, adding that the increased detail from the ICD-10 codes will provide a more accurate assessment of population health. “As the ICD-10 compliance date moves closer, AHIMA will remain focused on helping organizations prepare for implementation,” said AHIMA CEO Lynne Thomas Gordon, MBA, RHIA, CAE, FACHE, FAHIMA. “HIM professionals recognize the importance of ICD-10 in sharing accurate and robust information as well as managing that information to ensure it is used effectively.” Pointing to CMS’ comprehensive implementation plan, Buenning added that the Medicare implementation of ICD-10 is on track for the October 2014 compliance date, but will continue to work in partnership with industry to assist all health care segments, and especially small providers, with making a successful transition to ICD-10. Source:  AHIMA

Medicare will tie financial incentives to quality performance this year for 32 accountable care organizations known as Pioneers, the CMS’ first and most ambitious pilot of the new payment model.

According to a recent survey from the Plantation, Fla.-based coding vendor, Health Revenue Assurance Holdings (HRAA), one-in-five small-to-midsized hospitals have not begun education or training practitioners for the shift to the ICD-10 code-set. HRAA found that half of these hospitals are not in-tune with the official Centers for Medicare & Medicaid Services (CMS) ICD-10 transition timeline. According to a recent survey from the Plantation, Fla.-based coding vendor, Health Revenue Assurance Holdings (HRAA), one-in-five small-to-midsized hospitals have not begun education or training practitioners for the shift to the ICD-10 code-set. HRAA found that half of these hospitals are not in-tune with the official Centers for Medicare & Medicaid Services (CMS) ICD-10 transition timeline. read more

Researchers from the Northwestern University’s Feinberg School of Medicine recently determined that for-profit hospitals are more likely than nonprofit and public hospitals to receive bonuses under CMS’ Value-Based Purchasing Program. In this exclusive interview, HCI Associate Editor Gabriel Perna spoke with an author of the study to discuss the results and why he thinks policymakers should be happy with the results of this study. In a recent study , researchers from the Northwestern University’s Feinberg School of Medicine (Chicago) have determined that under the rules of the Centers for Medicare & Medicaid Services’ (CMS) Hospital Inpatient Value-Based Purchasing Program, for-profit hospitals are more likely than nonprofit and public hospitals to receive bonuses for performance in certain quality measures. read more

The CMS awarded thousands of new contracts in Medicare’s competitive-bidding program for medical supplies, an initiative growing substantially in its reach amid persistent criticism from many companies that distribute the products.

The CMS and HHS’ inspector general’s office have issued a pair of complementary proposed rules to extend 2006 waivers that relaxed federal Stark and anti-kickback laws to promote the use of electronic health-record systems.

As the Oct. 1 start date nears for meeting Stage 2 of the meaningful-use criteria for hospitals in the federal electronic health-record incentive program, the CMS has posted a one-page tip sheet for providers on the reporting of clinical quality…

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