Tag: CMS

MACRA poses risks for physicians, patients

Editor's Note Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) could threaten physicians’ autonomy in making decisions for their patients, provide burdensome levels of documentation, and pressure some solo and small practices to close, according to an analysis in the July 23 Medical Economics. MACRA also could contribute…

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By: Judy Mathias
July 26, 2016
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CMS to bundle payments for CABG, expand orthopedic program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) will select 98 hospitals in metropolitan areas to take part in a 5-year mandatory program to test a bundled-payment model for myocardial infarction and coronary artery bypass graft (CABG) procedures, the July 25 Modern Healthcare reports. CMS will also expand…

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By: aadeleke
July 26, 2016
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Survey reveals challenges in implementing eCQMs

Editor's Note A survey by the Joint Commission, American Hospital Association, and Federation of American Hospitals, finds that Medicare's new Hospital Inpatient Quality Reporting program requirements for electronic clinical quality measures (eCQMs) are achievable, but organizations will need to address education, process, and technology hurdles to meet the deadline of…

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By: Judy Mathias
July 20, 2016
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CMS, FDA advocate for UDI use in insurance billing

Editor's Note The Centers for Medicare & Medicaid Services (CMS) and Food and Drug Administration (FDA) are recommending using unique device identifiers (UDIs) in universal health insurance claims forms to improve value-based reimbursement for medical devices and postmarket surveillance, the July 14 Modern Healthcare reports. Proponents say UDIs could help…

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By: Judy Mathias
July 18, 2016
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Bariatric surgery outcomes in accredited vs nonaccredited centers

Editor's Note Patients who have bariatric surgery at nonaccredited bariatric surgical centers are 1.4 times likelier to have serious complications and more than twice as likely to die after the procedure compared to those who have surgery in accredited centers, this study finds. In this review of more than 1.5…

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By: Judy Mathias
July 13, 2016
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CMS releases OPPS, ASC proposed rule for 2017

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 14 published the 2017 Medicare Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System policy changes, quality provisions, and payment rates proposed rule.  Among the proposals:  an increase in OPPS payment rates by 1.55%--a combination…

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By: Judy Mathias
July 13, 2016
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CMS: Final rule allows selling of claims data

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on July 1 released a final rule that allows certain CMS-approved organizations, including for-profit companies and government entities, to buy Medicare claims and other federal data at a price matching the governments’ cost of processing the data, Modern Healthcare reports.…

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By: Judy Mathias
July 5, 2016
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Study: EHRs leads to physician burnout, job dissatisfaction

Editor's Note This study finds that physicians who use electronic health records (EHRs) have higher rates of burnout and are more likely to be dissatisfied with their jobs because of the amount of time spent completing computerized medical forms. The findings, based on a survey of 6,375 physicians, found that…

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By: Judy Mathias
July 5, 2016
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CMS issues corrections to new fire safety requirements for hospital outpatient surgical departments

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 30 published a correction to its recently updated fire safety requirements for hospitals. The correction says that hospital outpatient surgical departments must meet Life Safety Code provisions "applicable to Ambulatory Health Care Occupancies, regardless of the number of…

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By: Judy Mathias
July 1, 2016
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Experts can help ASC leaders solidify building safety

For an ambulatory surgery center (ASC), maintaining a safe physical environment for patients generally falls to the administrator and governing board. For those who lack expertise in healthcare architecture, building codes, and risk management, it may pay to hire a consultant. Even so, ASC managers remain responsible for compliance. Fortunately,…

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By: OR Manager
June 20, 2016
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