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Top Stories | This week in Medicare updates–10/19/2016 | 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! |
Platinum Content: Comprehensive Care for Joint Replacement Model webcast | 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. |
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Upcoming CMS Events | CMS is hosting events, forums, and calls in the upcoming months. Click for registration information. Events include: 2015 Supplemental QRUR Physician Feedback Program Call; Thursday, 10/20 Long-Term Care Facilities: Reform of Requirements Call; Thursday, 10/27 How to Report Across 2016 Medicare Quality Programs Call; Tuesday 11/01 | |
Product Spotlight 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 Judith L. Kares, JD Regulatory Specialist Debbie Mackaman, RHIA, CPCO, CCDS Regulatory Specialist Valerie A. Rinkle, MPA Regulatory Specialist Regulatory Specialist Bios | |
| Medicare Compliance Watch Spotlight | Download a copy of CMS' BFCC QIO 2-Midnight Claim Review Guidelines. | |
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