News & Analysis as of

Medicare Shared Savings Program: Final Rule

Last week, the Centers for Medicare & Medicaid Services (CMS) released its Final Rule on the Medicare Shared Savings Program (MSSP). The Final Rule provides additional flexibility to accountable care organizations...more

Hospital CFO Must Pay $4.4 Million For Falsely Attesting To Meaningful Use

The Health Information Technology for Economic and Clinical Health Act, adopted in 2009, pumped billions of dollars into hospitals and physicians (through the Centers for Medicare and Medicaid) in order to stimulate them to...more

MACRA’s Advancement of EHR Interoperability and Telehealth

This is the fourth and final post in our series on the Medicare Access and CHIP Reauthorization Act (MACRA). Pub.L. No. 114-10. We’ve previously covered the repeal of the Sustainable Growth Rate (SGR) in our April 20th post,...more

How to Prepare Your Hospital or Medical Practice for a Meaningful Use Audit

For the past several years, the Centers for Medicare and Medicaid Services (“CMS”) has incentivized hospitals and eligible professionals to adopt and make “meaningful use” of certified electronic health records (“EHR”)...more

CMS Extends Start Date for Stage 3 of Meaningful Use to 2017 Without Extending Timeline for When Providers Must Start Stage 2

The Centers for Medicare & Medicaid Services recently announced a revised timeline for the implementation of Stage 3 “meaningful use” measures for the Electronic Health Records Incentive Programs, but did not extend the...more

CMS Extends Timeline on Meaningful Use Implementation

Last Friday, the Centers for Medicare & Medicaid Services (“CMS”) proposed a one-year extension of Stage 2 of the meaningful use standards for Medicare and Medicaid electronic health record (“EHR”) incentive programs. Under...more

CMS Releases Sequestration Details; Medicare EHR Incentive Payments Subject to Two-Percent Reduction

On March 8, 2013, CMS announced that it will apply the two-percent sequestration reduction to all Medicare provider payments with dates of service/discharge on or after April 1, 2013. The announcement also states that claims...more

CMS Requests Comments on Redundant Reporting of Clinical Quality Measures

CMS is seeking input regarding ways in which eligible professionals might use clinical quality measures (CQM) data reported to medical boards, specialty societies, regional health care quality organizations or other...more

CMS Alters Procedures for Physicians Practicing in CAHs to Qualify as Meaningful Users

CMS announced on January 17, 2013, that it is changing its claims processing systems to enable eligible practitioners (EPs) who furnish outpatient services in critical access hospitals (CAHs) to participate in the Medicare...more

Audits, Audits And More Audits: Life In The Healthcare Industry

Healthcare suppliers and service providers live in a regulated world. They are constantly under audit scrutiny. Sometimes federal agencies (i.e private contractors) conduct the audits; other times state agencies conduct the...more

OIG Recommends Additional Oversight of EHR Incentive Programs

A November 29, 2012 report from the HHS Office of Inspector General (OIG) sets forth several recommendations to improve CMS’s oversight of the Medicare and Medicaid EHR Incentive Programs. Specifically, the report expresses...more

Meaningful Use Mash-Up: Update on Deadlines, Changes for Stage 2, and the Start of MU Audits

The march towards electronic health records (“EHRs”) and health information exchange continues. It is worth noting a number of recent changes to the Medicare and Medicaid Meaningful Use programs governing incentives for...more

CMS Releases Final Stage 2 “Meaningful Use” Regulations for the Medicare and Medicaid Electronic Health Records Incentive Programs

On September 4, 2012, the Centers for Medicare and Medicaid Services (CMS) published final regulations (Final Regulations) establishing the Stage 2 meaningful use criteria for the Medicare and Medicaid Electronic Health...more

CMS Releases Proposed Stage 2 "Meaningful Use" Regulations for the Medicare and Medicaid Electronic Health Records Incentive...

On March 7, 2012, the Centers for Medicare and Medicaid Services (CMS) published proposed regulations (Proposed Regulations) outlining the Stage 2 “meaningful use” requirements for the Medicare and Medicaid Electronic Health...more

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