- Senate passes SGR bill, ICD-10 implementation date stands
Late in the evening Tuesday, April 14, Congress passed the Medicare and Children's Health Insurance Program (CHIP) Reauthorization Act (MACRA), effectively ending the 17-year battle over cuts to physician reimbursement associated with the Sustainable Growth Rate (SGR).The new law puts in place a merit-based incentive payment system (MIPS) that awards bonuses or imposes penalties based on physicians’ composite performance scores.
- Q&A: Requirements for drug panels ordered in the ED
Q: When a patient presents to the ED and the physician there orders a drug panel, we perform the entire panel. Is that physician supposed to only order the tests for drugs that he or she suspects the patient has taken, according to the new CPT® drug reporting requirements?
- Experts take on ED case management questions
The emergency department (ED) case manager has a number of critical functions in any hospital. During HCPro’s February webcast “Emergency Department Case Management: Manage Challenging Patients and Special Populations,” speakers talked about the challenges ED case managers face and the important role that they play.
- CMS focuses on quality measures in FY 2016 IPPS proposed rule
CMS released its fiscal year 2016 IPPS proposed rule April 17, announcing potential changes to MS-DRGs, the market basket update, and value-based payment quality measures.
- Q&A: Rejections for codes without internal edits
Q: We are receiving rejections for HCPCS codes J0365 (injection, aprotonin, 10,000 kiu) and J7180 (injection, factor xiii [antihemophilic factor, human], 1 i.u) when we report them on a claim. We are not receiving any internal edits for this.
- Poll: Health problems are caused by more than just germs
American’s don’t think health is only about what happens to their bodies. They think it’s a result of outside experiences, according to a new poll by National Public Radio, the Robert Wood Johnson Foundation, and the Harvard T.H. Chan School of Public Health.