Medicare & Insurance

health
HHS recently announced measurable timelines and goals to move the Medicare program, and the healthcare system at large, toward paying providers based upon quality, rather than the quantity of care given to patients.
health-insurance
CMS has reportedly issued a proposed rule that places an emphasis on strengthening affordability and accessibility for insurance plans offered through the Affordable Care Act (ACA) health insurance marketplaces beginning in 2016.
apta-resource
The APTA website reports that the association is offering new resources designed to assist PTs in understanding the final 2015 CMS rules, including a webinar and podcast.
CMS recently announced an initiative that will reportedly offer $850 million in funding to provider networks, professionals associations, and other organizations that are providing education and training in the transition to value-based healthcare.
october calendar
A news release from the American Physical Therapy Association (APTA) indicates that there is an October 3 deadline for healthcare providers to sign up for the ICD-10 testing program from the Centers for Medicare and Medicaid Services (CMS).
news
The Improving Medicare Post-Acute Care Transformation (IMPACT) Act, which is legislation with a focus on standardizing post-acute care data, has passed in both the United States House and Senate.
news
The Centers for Medicare and Medicaid Services (CMS) has announced the testing dates for its International Classification of Diseases, 10th Revision (ICD-10) system.
news
The Centers for Medicare and Medicaid Services (CMS) has issued final rules for 2015 for inpatient prospective payment systems.
news-mu
A 43-page congressional report from the Senate Special Committee on Aging offers an assessment of the Centers for Medicare and Medicaid Service’s (CMS) attempts to curb improper payments.
news
The use of predictive analytics has enabled the Centers for Medicare and Medicaid Services (CMS) to recover or prevent more than $210 million in improper payments in 2013.
news
The Centers for Medicare and Services (CMS) have proposed rules that include a 2.1% increase in payment rates for 2015 under the outpatient prospective payment system (OPPS) as well as changes to hospital admissions requirements.
news
The proposed 2015 Medicare physician fee schedule (PFS) released by the Centers for Medicare and Medicaid Services (CMS) would result in an estimated 20.9% reduction in payments beginning April 1, 2015.
law
Recently introduced bipartisan legislation (HR 4994/S 2553) aims to standardize data utilized across post-acute settings.
news
A new report from the Government Accountability Office (GAO) shows that self-referral for physical therapy (PT) services may increase Medicare spending.
news
The Centers for Medicare and Medicaid Services (CMS) has released a final rule on Exchange and Insurance Market Standards for 2015.
office
The Centers for Medicare and Medicaid Services (CMS) has implemented several fixes that should decrease the number of rejections in the processing of functional limitation reporting (FLR) claims.
news
The Centers for Medicare and Medicaid Services (CMS) has issued proposed payment and policy changes for Medicare that includes a $241 million reduction in payments to acute care hospitals and a small payment increase of 0.8% for long-term-care hospitals (LTCH).
medicare
Policy updates released by the Centers for Medicare and Medicaid Services (CMS) show that Inpatient Rehabilitation Facilities (IRFs) will receive an additional $160 million in 2015.
low back pain
DJO Global, Inc, a global provider of medical device solutions for musculoskeletal health, vascular health and pain management, has released an estimated financial impact on Medicare patients who suffer from chronic low back pain (CLBP).
health care costs
The American Physical Therapy Association (APTA) reports that President Barack Obama’s Fiscal Year 2015 seeks to exclude therapy services, including physical therapy, from the in-office ancillary services (IOAS) exception of the Stark self-referral laws for the second straight year.