by Continuum Health | Sep 14, 2018 | Blog, CMS, EHR Technology, Healthcare Technology, Integrated Healthcare Technology, IT and Analytics, Population Health Tools
The Centers for Medicare and Medicaid Services (CMS) now supports improved health care interoperability efforts through applications that enable a data exchange between two disparate computer systems. One type of application programming interface (API) or data...
by Continuum Health | Aug 2, 2018 | Blog, Care Coordination, Claims Data, Clinical Integration, CMS, Cost of Care, Medicare Advantage
Medicare adopted transitional care management (TCM) payment codes in 2013 to encourage clinicians to provide TCM services after beneficiaries were discharged to the community from medical facilities. As a result, Medicare spending on TCM services increased over 200...
by Continuum Health | Jul 18, 2018 | Blog, CMS, Coding, Payment Reform, Risk-Adjusted Coding
MEDPAC recently issued a report to Congress. It reviewed the reimbursement levels for office-based E/M codes versus procedural codes. The commission recommended a significant increase in the reimbursement of E/M codes. The increase ranged from 5% to 30% as a pay...
by Michael Renzi, DO, FACP | May 22, 2018 | Blog, CMS, Medicare Advantage, Patient Experience, Payer Contracts, Quality Care
CMS created the Star Ratings system in 2008 to help seniors compare quality and performance among Medicare Advantage (MA) Part C plans and Part D prescription drug plans (PDPs). Insurance companies also benefit, as a plan’s star rating influences patients and directly...
