MIPS – Changes for 2018

January 8, 2018

Just when you think you have a proficient grasp on the new CMS Quality Payment Program-The Merit-based Incentive Payment System (MIPS) has changes in store for January 1, 2018.  There are some helpful changes such as an increase to the “Low-Volume …

CPT 2018 Summary of Changes

December 15, 2017

CPT changes go into effect on 1/1/2018. A few highlights for frequently used categories are noted below. Please refer to the spreadsheet link here to review all code additions, deletions and revisions. The spreadsheet includes a summary tab and additio …

News From the National Oncology PET Registry

December 13, 2017

Closure of NOPR (NaF-PET) on December 14, 2017  On December 15, 2015, The Centers for Medicare & Medicaid Services (CMS) issued a final decision memorandum http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId …

Maximizing MIPS: Don’t Leave Money on the Table

December 1, 2017

Medicare’s Merit-based Incentive Payment System (MIPS) program recently passed an important milestone: October 2 was the date by which providers must have begun collecting – but not reporting – quality measures to be eligible for a MIPS bonus in 2019. …

Self-Service: One Pillar of Business Intelligence

September 5, 2017

Dan Reber, VP of Product Strategy and Development, PrecisionBI Earlier, we talked about the four pillars that serve as cornerstones for successful business intelligence (BI) initiatives: Self-Service, Collaborative, Enterprise and Automated. To fully a …

Highlights of the CY 2018 Physician Fee Schedule Proposed Rule

August 2, 2017

The Centers for Medicare & Medicaid Services (CMS) published the CY 2018 PFS proposed rule on July 21, 2017. This proposed rule includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Me …

OVERVIEW OF ICD-10 CODE: ADDITIONS, REVISIONS, AND DELETIONS – EFFECTIVE 10-1-2017

July 28, 2017

CMS has made available the updated ICD-10-CM and ICD-10-PCS Code lists for 2018. These codes take effect on October 1, 2017. This summary identifies the new codes added, any revised codes, and the deleted codes. The link following this summary document …

Middlesex Hospital Utilizing Enterprise Analytics to Drive Efficiency

July 25, 2017

Jonathan Sharr, Senior Decision Support Analyst, Middlesex Hospital A community hospital based in Middletown, Conn., Middlesex Hospital strives to provide the safest, highest-quality healthcare, and the best experience possible for our community. Our p …

UPDATE – Protecting Access to Medicare Act (PAMA): Appropriate Use Criteria (AUC) for Advanced Imaging Services

July 17, 2017

The proposed rule for the Physician Fee Schedule (PFS) for calendar year 2018 is scheduled to be published on July 21, 2017. Within this proposal is additional information regarding the Appropriate Use Criteria (AUC) for advanced Imaging services. Evid …

Driving Clinical Outcomes with Robotic Process Automation

June 23, 2017

L. Albert Villarin, MD, FACEP Information is critical to delivering care and dozens of decisions per day are based on the what data is available at that time. Several industries, including travel and automotive, have been years ahead of healthcare in i …

2018 Proposed Rules for MIPS

June 23, 2017

The 2018 proposed rule for the quality payment program (QPP) is scheduled to be published on 06/30/2017. This new program went into effect 1/1/2017 known as the transition year.  The goals of the program are to improve health outcomes of Medicare …

Meridian Medical Management Announces Relationship with The Carrell Clinic

June 22, 2017

Windsor, CT –  June 22, 2017 (GLOBE NEWSWIRE) – The Carrell Clinic, a nationally recognized orthopedic medical group, has selected Meridian Medical Management to provide revenue cycle management, robotic process automation, and its proprietary Pre …