The Pioneer ACO Model is one of CMS’s initiatives. It is designed to support organizations with experience operating as Accountable Care Organizations (ACOs). Medicare offers several ACO programs, including: Medicare Shared Savings Program – a fee-for-service program Advance Payment Initiative – for certain eligible providers in the Shared Savings Program Pioneer ACO Model – population-based [...]
The Pre-Existing Condition Insurance Plan makes health insurance available to people who have had a problem getting insurance due to a pre-existing condition. The Pre-Existing Condition Insurance Plan: Covers a broad range of health benefits, including primary and specialty care, hospital care, and prescription drugs. Does not charge you a higher premium just because of [...]
Exchanges are marketplaces where consumers can do comparison shop for health insurance, similar to shopping online for airline tickets. Sliding subsidies for private insurance on the exchanges will be available for residents who earn up to 400% of the poverty level, about $43,560 this year. Those who qualify for Medicaid, the state-federal program for the [...]
[youtube=http://youtu.be/sKngNjd8Iuc] Since the EHR incentive program opened in January of 2011, more than $158 million has been paid for both the Medicare and Medicaid EHR incentive programs. In total, the Federal government has paid: $75 million for the Medicare EHR incentive program $83.3 million for the Medicaid EHR incentive program The following are notable differences [...]
The Center for Medicare & Medicaid Services (CMS) issued a proposed rule that makes significant changes to the e-prescribing penalty program by adding more exemptions categories so that physicians are not unfairly penalized. The previous rules required physicians in individual practices to submit at least 10 Medicare Part B claims with the electronic measure code [...]
The Medicare and Medicaid EHR Incentive Programs checklists will show you the steps to take to receive your incentive payments, but first: Find out if you are eligible for either the Medicare or Medicaid EHR Incentive Programs. Professionals and hospitals can visit the Eligibility page to check eligibility. Are you a professional eligible for both programs? [...]
The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) authorized a new and separate federal incentive program for eligible professionals (EPs) who are successful electronic prescribers. This incentive is in addition to the electronic health record (EHR) program and the Physician Quality Reporting System (PQRS) program. Providers could qualify for multiple incentive programs. [...]
On March 31, 2011, the Centers for Medicare & Medicaid services (CMS) proposed new rules under the Affordable Care Act to help doctors, hospitals, and other health care providers better coordinate care for Medicare patients through Accountable Care Organizations (ACOs). CMS has created incentives for the ACOs to coordinate patient care across care settings – [...]
Click the link for a copy of the timeline in .PDF: ICD-10 – TimeLine
On or after October 1, 2013, the current diagnosis code sets (ICD-9-CM) will be replaced with the new code – ICD-10-CM. This article discusses the benefits of ICD-10-CM, similarities and differences between the two coding systems, and new features and and additional changes that can be found in ICD-10-CM. Benefits of ICD-10-CM: ICD-9-CM is 30 [...]
Recent Comments