ACO: Understanding Beneficiary Assignments

In the final rule, CMS chose to adopt a preliminary prospective assignment methodology with final retrospective reconciliation.  Under this model, CMS will create a list of beneficiaries likely to receive care from the ACO based on primary care … [Continue reading]

MIT Enterprise Forum Focus on Health IT – March 14th

Interested in Health Information Technology and live in the Pacific Northwest?  Then you should attend the MIT Enterprise Forum on Health IT. Wed, 03/14/2012 - 5:00pm - 8:30pm MOHAI 2700 24th Avenue East Seattle, WA To register … [Continue reading]

Assigning Patients to ACOs

A hotly contested area of the proposed ACO rules concerns the assignment of Medicare Fee-for-Service (“FFS”) beneficiaries to ACOs.  Once a Medicare beneficiary is assigned to an ACO, the ACO will then be held accountable “for the quality, … [Continue reading]

Recent CMS Guidance Allows Non-Medical Staff Practitioners To Order Hospital Outpatient Services

  On February 17, 2011, the CMS Office of Clinical Standards and Quality/Survey & Certification Group issued letter memorandum S&C-12-17  regarding who may order hospital outpatient services (the “SCG Letter”).  The SCG Letter … [Continue reading]

CMS Releases Proposed Rule On Meaningful Use Stage 2

CMS announced today its proposed rule (NPRM) on Stage 2 of the EHR Incentive Program Meaningful Use requirements.  These requirements apply to both eligible professionals and hospitals participating in the Medicare and Medicaid EHR Incentive … [Continue reading]