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Archive for December, 2016

The MACRA Final Rule: Easing the Pain of Implementation

The MACRA Final Rule: Easing the Pain of Implementation

When CMS released the Notice of Proposed Rule (NPRM) for the implementation of the Medicare Access and CHIP Reauthorization Act – better known as MACRA – in April of this year, howls of protest could be heard throughout the healthcare landscape.

December 28, 2016 | By More
Mixing It Up: HIPAA Hybrid Entities

Mixing It Up: HIPAA Hybrid Entities

When it comes to HIPAA compliance, no stone can be left unturned. The most recent HIPAA settlement announced by the Office for Civil Rights (OCR) in the Federal Department of Health and Human Services continues the trend of using settlement agreements to highlight specific areas of HIPAA for compliance.

December 21, 2016 | By More
The Tyranny of the MIPS Composite Score Part Deux

The Tyranny of the MIPS Composite Score Part Deux

Last month I wrote a post entitled, MIPS: The Tyranny of the Composite Score. The majority of Medicare Part B providers (those not in the Advanced Alternative Payment Model (APM) bubble) will have reimbursement directly and deeply impacted by the Merit-based Incentive Payment System (MIPS). A provider’s annual score (0-100) will be the holy grail in this new game of “pay for value” competition. For the most part those that will be affected have no idea that the reimbursement landscape has changed. They will know soon enough.

December 13, 2016 | By More
Push Comes to Shove in the World of Meaningful Use

Push Comes to Shove in the World of Meaningful Use

The move toward an interoperable electronic health care data system has been stimulated by a system of incentives, penalties and pay adjustments for providers. The CMS EHR Meaningful Use (MU) programs were a prime example of this process. It was the proverbial carrot and stick approach. Meet the requirements and gain incentives or just ignore the whole thing and maybe get dinged down the road.

December 7, 2016 | By More
What Providers Need to Know about the Road to MBI

What Providers Need to Know about the Road to MBI

By now you’ve probably heard that one of the outcomes of the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is that the Centers for Medicare and Medicaid Services (CMS) will be replacing the old Health Insurance Claim Number (HICN) on Medicare cards with a new, randomly generated Medicare Beneficiary Identification (MBI) code. Officially, the change is known as the Social Security Number Removal Initiative.

December 1, 2016 | By More