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The CMS Bundled Payment Initiative: Providers Can Apply to Participate in a Mini-ACO Initiative

by Mary Pat Whaley | Aug 28, 2011 | Medicare & Reimbursement

Last week the U.S. Department of Health and Human Services (HHS) announced a new initiative to help improve care for patients while they are in the hospital and after they are discharged. Doctors, hospitals, and other health care providers can now apply to participate...

Collections Basics – Part 1: Know Your Payers

by Mary Pat Whaley | Aug 24, 2011 | Collections, Billing & Coding, Day-to-Day Operations, Finance, Innovation

In a traditional healthcare setting, the revenue cycle begins with the insurance companies who pay the majority of the bill. There are multitudes of payers and each payer can have many plans.  How can a healthcare organization catalog this information, keep this...

CMS Announces Medicare Providers Must Begin to Revalidate Enrollment By March 2013

by Mary Pat Whaley | Aug 10, 2011 | Medicare & Reimbursement, PECOS

Announcement from CMS: All providers and suppliers who enrolled in the Medicare program prior to Friday, March 25, 2011, will be required to revalidate their enrollment under new risk screening criteria required by the Affordable Care Act (section 6401a). ...

Step by Step Directions for Getting the EHR Incentive Money: My Notes From Last Week’s CMS Call

by Mary Pat Whaley | Jul 17, 2011 | Electronic Medical Records, Medicare & Reimbursement, PECOS

First the facts on what has taken place so far in the 2011 EHR Incentive Programs. As of June 30th, the total of Medicare EHR Incentive Program payments is over $94 million. As of June 30th, over $166 million has been paid in Medicaid EHR incentives since the program...

CMS Roundup of 17 Announcements: More Information Than You Can Shake a Stick At!

by Mary Pat Whaley | Apr 10, 2011 | Headlines, Medicare & Reimbursement

Hospital Wage Index Reform Call Special Open Door Forum: Presentation and Listening Session on Hospital Wage Index Reform Tuesday, April 12, 2011, 1:30 PM – 3:00 PM ET. Section 3137(b) of the Affordable Care Act requires CMS to submit to Congress, by December 31,...
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