CJR and BPCI Models Now Qualify as Alternative Payment Models
On July 25, 2016, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) released a new proposed rule in a continuous effort to shift Medicare payments from quantity- to quality-based models. learn more
Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs)
The MACRA makes three important changes on how Medicare pays those who provide care to Medicare beneficiaries. These changes create a Quality Payment Program (QPP):
- Ending the Sustainable Growth Rate (SGR) formula for determining Medicare payments for health care providers’ services.
- Making a new framework for rewarding health care providers for giving better care not more just more care.
- Combining existing quality reporting programs into one new system.
Learn more about MACRA, MIPS and APMs at CMS
Provider Enrollment Revalidation Cycle 2
Reminder! All Medicare Part A and B providers are required to recertify the accuracy of their enrollment information every five years through a process known as revalidation. Providers must submit a complete revalidation application by the established due date and respond to all requests for additional information issued by Novitas in a timely manner. Visit CMS.gov for more information.
2017 Workers' Comp Fee Schedule
2016 Fees for Medical Records
CMS ICD-10 Transition Guide for Orthopaedics
The U.S. Centers for Medicare & Medicaid Services (CMS) has released ICD-10: Clinical Concepts for Orthopedics—part of a series of guides that include common ICD-10 codes, clinical documentation tips, and a series of example clinical scenarios to familiarize providers with coding under ICD-10.