Tag:

CMS

Latest Headlines

Latest Headlines

CMS miscalculates incentive payments, underpays hospitals

The Centers for Medicare & Medicaid Services has applied the wrong transition factor in calculating the Meaningful Use incentive payments for some hospitals, causing them to receive fewer incentive monies than what they were entitled to, according to an alert from the law firm of King and Spalding.

Get a good HIX compliance plan or lose money, Deloitte warns

Health plans participating in health insurance exchanges have a world of hurt coming if they fail to prepare for a complicated and changing regulatory environment--complete with tough enforcement action, a new Deloitte paper says.

The silver lining for ICD-10 skeptics this time around

It's telling that the recent announcement from the Centers for Medicare & Medicaid Services finalizing Oct. 1, 2015, as the new ICD-10 deadline was met mostly with skepticism, at least by hospital CIOs and provider organizations with whom I spoke last week. Still, there appears to be one big difference between this delay and the last one: Right up front, CMS announced plans for readiness testing for providers, including end-to-end testing.

Feds outline new ICD-10 testing plan

The Centers for Medicare & Medicaid Services, piggybacking on its announcement Thursday finalizing Oct. 1, 2015, as the new ICD-10 deadline, have outlined a "comprehensive four-pronged approach" to helping providers prepare for the transition.

CMS finalizes ICD-10 compliance date

After months of speculation, the U.S. Department of Health and Human Services, as expected, finalized Oct. 1, 2015, as the new compliance date for providers and payers to transition to ICD-10.

ACR to CMS: Cover breast tomosynthesis

The American College of Radiology is calling on the Centers for Medicare & Medicaid Services, as well as private insurers, to cover breast tomosynthesis, "now that it has been shown to improve key screening parameters compared to digital mammography."

Meaningful Use flexibility rule may open the door to bigger changes

The Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health IT's proposed rule offering some flexibility for attesting to Meaningful Use in 2014 may be one of the few occasions where a rule relating to the program has been met with open arms. But deeper dive reveals a detail that I find particularly interesting: the Medical Group Management Association's suggestion that CMS has overstepped its regulatory authority in Stage 2.

Telehealth legislation seeks better coverage for chronically ill

Forthcoming legislation set to be introduced by Rep. Mike Thompson (D-Calif.) looks to expand Medicare coverage for telemedicine beyond what the Centers for Medicare & Medicaid Services proposed earlier this month in its update to the Medicare Physician Fee Schedule.

Proposed HOPPS rule calls for colonoscopy complication reporting

The Centers for Medicare & Medicaid Services (CMS) has proposed adding a claims-based quality reporting measure for colonoscopy to the Hospital Outpatient Quality Reporting (QPR) program.

Proposed HOPPS rule would increase breast biopsy reimbursements

The proposed rule for changes to the hospital outpatient prospective payment system (HOPPS) for 2015, recently released by the Centers for Medicare & Medicaid Services, would significantly increase breast biopsy payments.