Last week, CMS released the final 2018 performance data for the Quality Payment Program (QPP). These final QPP performance results show significant success and participation in both the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM).
by Carolyn Riel
“When I started here, it was all CC/MCCs we were looking at,” says Peggy Rice, RN, BSN, MBA, CCDS, CDI specialist at Dixie Regional Medical Center in St. George, Utah. As the CDI program matured over time, however, its focus shifted to quality...Read More »
Hospitals who serve disadvantaged patients in vulnerable communities may be unfairly penalized by the CMS rating system, according to an analysis released by...Read More »
The federal government has extended the comment period for the proposed rule mandating price transparency by two weeks, ending on January 29, reported HealthLeaders Media.
CMS said in a media release that the 15...Read More »
CMS reported that it plans to begin audits that would include chart reviews for validity of diagnoses in 2020 after a recent study by the Office of Inspector General (OIG). The study found potential issues with the extent to which chart reviews are leveraged by Medicare Advantage Organizations...Read More »
Safety-net hospitals may not have adequate resources to comply with federal and state sepsis quality improvement standards required of acute care hospitals, according to a recent study published in the Journal of Critical Care .
Researchers analyzed data from 2,827 hospitals and...Read More »
Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient services based on a sample of claims, according to an Office of Inspector General (OIG) audit report released November 26. The OIG estimates that, based on...Read More »
