CMS

By Jonah Comstock May 23, 2018
Home care technology company ClearCare has launched Home Connect API, a new technology that will allow home care agencies to connect directly to health plans and hospitals for referrals, care management, and billing. “Home care, that whole industry has really been largely removed from the rest of the continuum of care,” ClearCare CEO Geoff Nudd told MobiHealthNews. “But that’s changing. With the...
By Jonah Comstock May 21, 2018
In the first year of CMS’ Merit-based Incentive Payment System (MIPS), CareCloud, an EHR and practice management software company that offers a MIPS Success Guarantee Program to its users, is reporting that 100 percent of its physicians are avoiding penalties under the program — and nearly half are receiving additional bonus payments. “MIPS is a score from one to 100,” Daniel Sabido, director of...
By Susan Morse April 25, 2018
Centers for Medicare and Medicaid Services Administrator Seema Verma on Tuesday announced changes to overhaul the meaningful use EHR incentive program, including equipping patients with access to their electronic health records on the day they leave the hospital. Indeed, it starts with a new moniker: meaningful use is being renamed “Promoting Interoperability.” The proposed rules and request for...
By Jonah Comstock April 17, 2018
Medicare reimbursement for telehealth services is notoriously patchy. Much to the chagrin of telehealth vendors and healthcare providers, and despite many attempts to change the status quo through legislation, CMS still has a lot of restrictions on the geography of users and provider (rural versus urban, at home versus at a clinic, etc.) and on the technology used (video is reimburseable, for...
By Jonah Comstock January 26, 2018
Last week, we published part 1 of our digital health trends and predictions piece, covering big picture trends like vertical integration and healthcare consumerization, as well as some of the buzzy tech trends of voice, AI, and blockchain. This week, with the help of a range of expert stakeholders, we’re zooming in on four specific areas in digital health to look at what we can expect in the year...
By Dave Muoio January 2, 2018
Following some confusion, a Survey & Certification Letter sent last week has reaffirmed CMS’s stance on texting patient information, specifying that messages sent among clinicians are permissible so long as healthcare teams use a secure platform. Texting patient orders, however, is still prohibited across all platforms. CMS’s clarification comes shortly after a December 18th report from the...
By Jonah Comstock December 26, 2017
Member engagement was the watch word for health insurers in the fourth quarter, as we saw consumer-facing app launches or related moves from Humana, Anthem, Cigna, and UnitedHealthcare. The quarter also saw some big moves from CMS and some interesting developments in the realm of employee wellness. Check out our roundup of Q4 payer news below. If you want to take a look at the whole year, check...
By Jonah Comstock December 13, 2017
As announced in the final rule in November, starting in 2018, a new reimbursable Improvement Activity is being added to the Centers for Medicare and Medicaid Services' Merit-based Incentive Payment System (MIPS), which encompasses using digital tools to monitor patients outside the hospital. Three digital health companies that worked with the CMS to bring about the change weighed in today on the...
November 20, 2017
The U.S. Department of Health and Human Services’ Office of the Inspector General will audit Medicaid payments for telemedicine and telehealth payments to ensure compliance with reimbursement requirements. The report is scheduled for 2019, given the breadth and scope of the project. The audit was added to OIG’s work plan this week, as the agency noted a “significant increase in claims for these...
By Mike Miliard November 6, 2017
As the Quality Payment Program enters its second year, the Centers for Medicare and Medicaid Services issued its 1,653-page final rule on Nov. 2, with an array of implications for the ways physician practices use information technology in 2018. Among the biggest provisions is to allow doctors to use either 2014 or 2015 Edition certified electronic health record technology in Year 2 of the program...

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