Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

MACRA

GOP Doctors Caucus Suggests MACRA Implementation Changes

by Jacqueline LaPointe

In a recent letter to CMS Acting Administrator Andy Slavitt and Director of the Office of Management and Budget Shaun Donovan, the GOP Congressional Doctors Caucus called for several MACRA implementation changes to make the...

AMA Releases New MACRA Implementation Resources for Providers

by Jacqueline LaPointe

With a final ruling on the proposed MACRA implementation rule expected to arrive in early November, the American Medical Association (AMA) recently released three new tools to help healthcare providers prepare for the value-based...

CMS Selects 2 Orgs to Provide MACRA Implementation Support

by Jacqueline LaPointe

CMS will award up to $5 million to the Virginia Cardiac Service Quality Initiative and the American Psychological Association  to provide primary and specialist care providers with MACRA implementation support.  The two...

Few Docs Familiar with MACRA, Transitioning to Value-Based Care

by Jacqueline LaPointe

Only 20 percent of physicians reported that they are very or somewhat familiar with MACRA, according to a recent survey from the Physicians Foundation and Merritt Hawkins, and the majority of respondents do not currently have a large...

AMGA: New MACRA Flexibilities May Penalize Prepared Providers

by Jacqueline LaPointe

New MACRA flexibilities for the first performance year of the program may help some providers ease into new value-based reimbursement programs, but the American Medical Group Association (AMGA) recently argued that new attestation tracks...

Four New MACRA Tracks Allow Flexible Attestation for Providers

by Jacqueline LaPointe

Eligible clinicians will be able to select their own pace for MACRA attestation to ensure all participants can succeed under new value-based reimbursement programs, CMS announced. On its official blog, the head of CMS detailed four...

House Reps Ask CMS for MACRA Implementation Flexibilities

by Jacqueline LaPointe

Representatives from the House Ways and Means Committee and the House Energy and Commerce Committee have penned a letter to HHS Secretary Sylvia Mathews Burwell calling for more flexibilities with MACRA implementation. With the...

Industry Groups Call on CMS to Modify MACRA Patient Codes

by Jacqueline LaPointe

Proposed patient relationship codes that will be used under MACRA to measure appropriate resource use and determine value-based reimbursement adjustments may cause more confusion for providers and increase administrative burdens, according...

Is MACRA a Trojan Horse for Small Practices, Value-Based Care?

by Jacqueline LaPointe

While a final rule on MACRA implementation has yet to be issued, some providers are growing concerned that the value-based care models in the legislation could significantly burden small physician practices. Providers in small practices...

How CMS Would Reimburse ACOs for Value-Based Care under MIPS

by Jacqueline LaPointe

With a final rule on implementing MACRA coming in the next couple of months, some accountable care organizations (ACOs) have started to analyze new value-based reimbursement structures under the proposed rule. While only a couple of...

Is MACRA a True Doc Fix for Value-Based Reimbursement?

by Jacqueline LaPointe

Will MACRA be the answer to tying reimbursements to quality care or will it be just end up as another doc fix, like those under the Sustainable Growth Rate program? A recent National Center for Policy Analysis report is critical of...

Cerner to Increase Focus on Value-Based Reimbursement

by Kyle Murphy, PhD

Cerner has named Adventist Health System's Jeff Hurst to oversee its revenue cycle management division, the company announced Tuesday. Hurst, who currently serves as Florida Hospital's Senior Vice President of Finance at Florida...

Deloitte: Only Half of Physicians Have Heard of MACRA

by Jacqueline LaPointe

Despite the significance of its provisions, many healthcare providers are still unaware of MACRA and the federal government's plans to eliminate the sustainable growth rate and offer new alternative payment models to eligible...

Finding a Place for Bundled Payments in MACRA Implementation

by Jacqueline LaPointe

As officials at the Centers for Medicare and Medicaid Services (CMS) sift through over 3,800 comments on the proposed rule for MACRA implementation, the Healthcare Incentives Improvement Institute (HCI3) has released its comment letter to...

AMA Voices Concerns Over MACRA Implementation, MIPS, APMs

by Jacqueline LaPointe

As the comment period for the proposed Medicare Access and CHIP Reauthorization Act (MACRA) came to a close earlier this week, the American Medical Association (AMA) expressed some concern with MACRA implementation and its specific...

Detailing ACO Challenges with Risk, MACRA Implementation

by Jacqueline LaPointe

While accountable care organizations (ACOs) are popular and effective ways to implement value-based care, many ACOs are still facing significant challenges with managing risk and healthcare costs as the industry prepares for MACRA...

Newly Launched MACRA Initiative Aims to Support Providers

by Catherine Sampson

On May 25, American Medical Group Association (AMGA) launched a resource to help its members prepare for MACRA implementation as well as all risk-based payment systems. “We are making it our priority to ensure our members have the...

AMA Releases Value-Based Care, MACRA Resources for Providers

by Jacqueline LaPointe

As part of its STEPS Forward program, the American Medical Association (AMA) has released eight new educational modules to support healthcare providers with the transition to value-based care, reported AMA in an official press...

MACRA Quality Payment Program Promotes Alternative Payment Models

by Catherine Sampson

The newly-proposed MACRA implementation rule establishes the Quality Payment Program and shines a spotlight on alternative payment models for Medicare. Alternative payment models (APMs) are a central feature of new proposed rule for...

Providers Need Time, Resources for MACRA Implementation

by Catherine Sampson

Driven by the Affordable Care Act, the implementation of Medicare Access and CHIP Reauthorization Act (MACRA) is expected to significantly impact the nation's healthcare system. Already, many physicians and various types of...

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