This week’s Medicare updates include CMS’ Quality Payment Program; updates to the interest rate for Medicare overpayments and underpayments; a new initiative to increase clinician engagement; and more!
The Comprehensive Care for Joint Replacement (CJR) payment model, which became effective April 1, 2016, has been touted as one of the biggest changes in Medicare since MS-DRGs. Hospitals in designated geographic locations are required to participate in this bundled payment program, and they are vulnerable to repayment requirements—or less robust incentive payments—based on performance for defined cost and quality outcomes.
Medicare Boot Camp®—Utilization Review Version is an intensive two-day course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review committee. Don’t leave money on the table—ensure your UR committee is ready to implement and leverage regulatory requirements.
Advisory Board
Kimberly Anderwood Hoy Baker, JD Director of Medicare and Compliance
DISCLAIMER Advice given is general, and readers should consult professional counsel for specific legal, ethical, or clinical questions. Users of this service should consult attorneys who are familiar with federal and state health laws.
HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks, the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark, or the Accreditation Association for Ambulatory Health Care (AAAHC).
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