The new system outlined in the Medicare Access and CHIP Reauthorization Act (MACRA) represents the most significant change to Medicare in a generation, says Andrew Gurman, MD, president of the American Medical Association, in an October 5 conference call with news media.
The third reason that the discharge summary is more important than the H&P is that, given that the ICD-10-CM principal diagnosis establishes the foundation for the diagnosis-related group (DRG) essential to cost-efficiency measurement, we must be crystal clear what condition we determined ...Read More »
The U.S. District Court for the District of Columbia denied the Department of Health and Human Services’ claim to delay proceedings in an appeals backlog case until September 30, 2017, according to a civil action notice released by the Court.Read More »
The Comprehensive Error Rate Testing (CERT) program received a new assignment this summer. On August 16, CMS awarded CERT Review Contractors work to AdvanceMed, an NCI company, eliminating the existing CERT Documentation Contractors effective October 13, 2016, according to a statement published...Read More »
The Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations’ (QIOs) resumed patient status reviews of short stays in acute care inpatient hospitals, long-term care hospitals, and inpatient psychiatric facilities on September 12, 2016, according to a...Read More »
With Affordable Care Act and Hospital Readmissions Reduction Program efforts, 49 states and the District of Columbia have seen a drop in readmission rates, according to CMS. Since...Read More »
The American Hospital Association (AHA) hopes to streamline Medicare quality reporting and payment program measures by focusing on high priority quality issues, incorporating a socioeconomic adjustment to the Hospital Readmissions Reduction Program (HRRP), and reforming the existing Hospital-...Read More »