3M experts Cheryl Manchenton and Dr. Samuel Young examine the two paths for Quality Payment Program (QPP) provider participation: the merit-based, incentive payment system (MIPS) and the advanced alternative payment […]

The Boston Globe is running a series of articles about patients being billed for out-of-network providers in the healthcare setting. The articles detail how patients get hit with a surprise […]

While the intent of MIPS is important with its end goal of improved quality and patient care, the program’s content can be challenging for coders, billers and providers. The data […]

“The Medicare Payment Advisory Commission is pushing for the immediate repeal and replacement of a Medicare payment system that aims to improve the quality of patient care.” – Modern Healthcare […]

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]

A recent survey in Healthcare Informatics  on physician readiness for implementing MACRA indicates a strong need for assistance and support.  The overall results of readiness of physicians polled show that […]

As usual I have a song in my head and this month is no different (rock ‘n’ roll tunes are so catchy)!  As we are about to navigate through uncertain […]

Have you been leafing through all 2,000+ pages of the Final Rule? Save yourself time and learn how your system can succeed under the new guidelines.

MIPS is coming and physicians are unsettled.  Programs with the best of intentions can have unintended side effects. Healthcare providers across the U.S. have justified complaints regarding the multiple reporting […]

Exploring changing quality programs with Christine McNamara, Program Director for Coding Services at 3M HIS and Melody Mulaik, President and Co-Founder of Coding Strategies, Inc.

On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act of […]