Healthcare It News
OCTOBER 13, 2022
The new Microsoft Cloud for Healthcare tools have been designed to address provider burdens and facilitate proactive patient care, according to an October 12 Microsoft Health blog post by Tom McGuiness, corporate vice president of Microsoft's Worldwide Health. Data tools are also high on the list of provider IT needs for FHIR adoption.
Healthcare It News
OCTOBER 31, 2022
"Our combined efforts are expected to demonstrate how best to advance our nation’s technical infrastructure to enable SDOH interoperability as supported by ONC’s United States Core Data for Interoperability (USCDI) Version 2," ONC authors Ryan Argentieri, Samantha Meklir and Jawanna Henry wrote in ONC's HealthITbuzz blog.
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Healthcare Law Blog
FEBRUARY 1, 2023
On January 30, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the long-delayed final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”). One thing that is certain, CMS can expect further challenges to its RADV audit methodology. 3d 1, 18 n.19
Healthcare Law Blog
JANUARY 10, 2022
On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2
Health Law Checkup
JANUARY 20, 2022
Can a whistleblower successfully allege Medicaid/Medicare fraud if the whistleblower lacked direct access to records related to the alleged fraud? While the appellate circuits are still split on this issue, we look at recent decisions that indicate a possible shift in the Seventh Circuit’s pleading standard.
MRO Compliance
OCTOBER 31, 2024
During the performance year, there’s no way for providers or vendors to track or estimate cost data since CMS calculates it based on Medicare claims data after the performance period ends. If your final MIPS score is lower than expected, it’s natural to feel concerned, especially when Medicare payment adjustments are on the line.
MRO Compliance
NOVEMBER 21, 2024
The Centers for Medicare & Medicaid Services (CMS) 2025 Physician Fee Schedule (PFS) Final Rule brings notable updates to the Quality Payment Program (QPP), which will impact eligible clinicians, groups, virtual groups, subgroups, and APM entities.
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