Medicare rewards 1,557 hospitals, penalizes 1,427 in first quality of care analysis

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Medicare rewards 1,557 hospitals, penalizes 1,427 in first quality of care analysis

December 20, 2012 5:23 pm by | 0 Comments

Medicare on Thursday disclosed bonuses and penalties for nearly 3,000 hospitals as it ties almost $1 billion in payments to the quality of care provided to patients.
The revised payments, which will begin in January, mark the federal government’…


Heart doc calls for a time-out for ABIM MOC Mandate

Heart doc calls for a time-out for ABIM MOC Mandate

April 10, 2014 6:00 am by | 2 Comments

From theheart.org (registration required), John Mandrola, MD calls for a “time-out” for the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) mandate:The matter for debate is whether the…


Patients are actually customers … Who knew?

Patients are actually customers … Who knew?

April 2, 2014 11:01 pm by | 6 Comments

I was finally getting to my giant pile of reading this week when I saw an article in Health Care Information Week that included the following sentence: As consumer satisfaction…



Tips for passing an EHR incentive audit

Tips for passing an EHR incentive audit

April 1, 2014 11:32 am by | 0 Comments

When CMS first announced the availability of incentive funds for eligible providers who adopted an Electronic Health Record and were not only willing to comply with all HIPAA rules and…


CMS puts on hold key elements of contentious Medicare Part D rule

CMS puts on hold key elements of contentious Medicare Part D rule

March 10, 2014 12:57 pm by | 0 Comments

CMS put on hold the bulk of its controversial Part D proposed rule, telling lawmakers Monday morning that after hearing “numerous concerns about some elements of the proposal from members…


GOP pounces on MedPAC letter against opening preferred-pharmacy networks

GOP pounces on MedPAC letter against opening preferred-pharmacy networks

March 7, 2014 3:16 pm by | 0 Comments

House Ways & Means Republicans pounced on a letter from the Medicare Payment Advisory Commission in opposition to CMS’ proposal to open preferred-pharmacy networks to nonpreferred pharmacies, using MedPAC’s concerns…


Medicare PAC disagrees with CMS’ proposal to open preferred pharmacy networks

Medicare PAC disagrees with CMS’ proposal to open preferred pharmacy networks

March 6, 2014 4:57 pm by | 0 Comments

Congressional Medicare advisers support CMS’ plan to remove protected status for three drug classes, although they think the beneficiary appeals process is broken, and they agree CMS should crack down…


CMS still defending its Part D rule with newly released fact sheet

CMS still defending its Part D rule with newly released fact sheet

February 27, 2014 7:38 pm by | 0 Comments

CMS strongly defending its contentious Part D proposed rule with a new fact sheet Thursday (Feb. 27) that says the provisions are aimed at protecting beneficiaries, increasing transparency, ensuring plans’…



151 groups support Medicare Part D proposed rule, says pharmacists association

151 groups support Medicare Part D proposed rule, says pharmacists association

February 25, 2014 8:55 pm by | 0 Comments

The National Community Pharmacists Association on Tuesday (Feb. 25) released a letter, signed by 151 organizations, in support of CMS’ contentious Part D proposed rule, coming a day before a…


CMS opens second front on preferred pharmacies with MA call letter

CMS opens second front on preferred pharmacies with MA call letter

February 25, 2014 2:23 pm by | 0 Comments

CMS opened a second front against preferred pharmacy networks when it proposed on Friday (Feb. 21) to use the 2015 call letter on Medicare Advantage pay rates to make more…


Sunshine online database registration is live for organizations, but what about physicians?

Sunshine online database registration is live for organizations, but what about physicians?

February 25, 2014 11:11 am by | 0 Comments

Spread the word: As of February 18th, biopharmaceutical/medical technology organizations and group purchasing organizations (GPOs) can now register and set up their accounts with the Open Payments/Sunshine online database. Biopharmaceutical/medical…


Pharmacist lobbying group says contentious Medicare Part D rule helps patients

Pharmacist lobbying group says contentious Medicare Part D rule helps patients

February 21, 2014 4:14 pm by | 0 Comments

The community pharmacists lobby group has drafted talking points for its members praising CMS’ controversial Part D proposed rule as beneficial to patients, as CMS faces growing pressure from GOP…


CMS, patient groups defend Medicare Part D rule in face of accusations proposal violates law

CMS, patient groups defend Medicare Part D rule in face of accusations proposal violates law

February 20, 2014 11:25 pm by | 0 Comments

CMS justifies its controversial proposed Part D rule as a beneficiary and Medicare cost-saving measure that can be done through a simple administrative change to the definition of “negotiated prices,”…


Sunshine Act compliance: Here’s a list of what is and what isn’t reportable

Sunshine Act compliance: Here’s a list of what is and what isn’t reportable

February 18, 2014 11:19 am by | 1 Comments

With recent clarification from CMS that medical textbooks and journals must be reported as payments/transfers of value made to physicians, Partners for Healthy Dialogues is taking a look at all…


Sunshine reporting registration to open Feb. 18

Sunshine reporting registration to open Feb. 18

February 10, 2014 9:00 am by | 0 Comments

By Jennifer D. Newberger & Alan M. Kirschenbaum – Last Friday, CMS issued a notice announcing the opening of registration for electronic Open Payments reporting under the physician payment sunshine…


CMS Provides Additional Insight into EHR Incentive Audits and Appeals

CMS Provides Additional Insight into EHR Incentive Audits and Appeals

January 30, 2014 12:55 pm by | 0 Comments

Says EHR Incentive Audits Will Increase in 2014 CMS this week (1/28/2014) sponsored a “2014 EHR Meaningful Use Webinar”. Covered during the session were the “usual suspects” that included meaningful…