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Many provider groups have expressed serious concerns about their ability to meet the Oct. 1, 2013, compliance date. The proposed change in the compliance date for ICD-10 would give providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition to these new code sets. […]
Nearly $46.5 million for basic grant funding will be distributed to State Health Insurance Assistance Programs to help people with Medicare get more information about their health benefits and choices according to CMS. The fiscal year 2012 grant is a non-competitive continuation of the SHIP grant from the prior annual grant period. These grants are […]
The AQ-IQ Pneumonia Decision Tool is a logic tool for clinical documentation improvement. CDI staff write answers into the tool to assist in seeing the clear clinical picture of this patient. The tool does not lead to an answer, but assists in the decision of whether/what type pneumonia is/isn’t present in this case. Access to […]
Data Show Gains In Reporting Quality Measures And In Program Participation Rates CMS results for the 2010 Physician Quality Reporting System and the 2010 Electronic Prescribing (eRx) Incentive Program show significant gains in participation and incentives paid to eligible health care professionals. The report identifies key areas in which physician-level quality measures point toward future […]
Visit this page for the latest podcasts and related information from the Office of Inspector General. Medicare Hospices Have Financial Incentives To Provide Care in Assisted Living Facilities January 14, 2015 Jenell Clarke-Whyte, a team leader for the Office of Evaluation and Inspections, is interviewed by Nancy Harrison, Deputy Regional Inspector General for Office […]
CMS has announced a call for applications for a new ACA initiative designed to strengthen primary care in the United States. Under the Graduate Nurse Education Demonstration, CMS will provide hospitals working with nursing schools to train advanced practice registered nurses (APRNs) with payments of up to $200 million over four years to cover the […]
CMS announced that 11 States and the District of Columbia will participate in the Medicaid Emergency Psychiatric Demonstration, established under the Affordable Care Act to test whether Medicaid beneficiaries who are experiencing a psychiatric emergency get more immediate, appropriate care when institutions for mental diseases (IMDs) receive Medicaid reimbursement. The Medicaid Emergency Psychiatric Demonstration will […]
CMS has developed compliance program guidance for Medicare fee-for-service Contractors. This compliance program guidance is intended to assist Medicare fee-for-service Contractors in developing and implementing effective compliance programs that promote adherence to, and allow for, the efficient monitoring of compliance with all applicable statutory, regulatory and Medicare program requirements. CMS, in its ongoing effort to […]
Marilyn Tavenner, the Acting Administrator of the Centers for Medicare & Medicaid Services (CMS), announced the redesign of the statement that informs Medicare beneficiaries about their claims for Medicare services and benefits. The redesigned statement, known as the Medicare Summary Notice (MSN), will be available online and, starting in 2013, mailed out quarterly to beneficiaries. […]
