OIG: Open Payments Program Needs to Improve Data

Published: Tue, 08/14/18

The Open Payments database needs to improve the accuracy, precision and consistency of some of its data to ensure doctor financial transparency and help consumers better use the information. That’s the finding of an audit by the Department of Health and Human Services’ Office of Inspector General.

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CMS Moves Medicare Payments for Skilled Nursing Facilities to Value

CMS recently finalized a rule that will shift the Medicare payment system for skilled nursing facilities (SNF) away from fee-for-service and toward value starting in 2019. The federal agency will make the move by implementing the Patient-Driven Payment Model on...

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ICD-10-CM Guidelines for 2019 are Here - These are the Changes

CMS and the CDC's National Center for Health Statistics released changes to the ICD-10-CM guidelines for fiscal year 2019. Here's what you should know:

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Ready for PDPM?

It's been an open secret that the federal government has, for years, wanted to change long-term care's payment system from one rewarding volume of services to one that pays for quality outcomes instead. The new Patient-Driven Payment Model (PDPM) may be just the ticket to reaching the goal. Providers and various analysts have...

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CMS Proposed E&M Changes Would Eliminate 1995 and 1997 Guidelines

Major E&M changes on the horizon. Probably the biggest change in healthcare in two decades is the Centers for Medicare & Medicaid Services (CMS) proposal to redefine the documentation requirements for evaluation and management (E&M) coding in 2019. The agency is proposing to...

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