Part B News

VBM x-factor will mean a 32% bonus for some practices

by: Julia Kyles, CPC Mar 7, 2016

Quality reporting in 2014 will really pay off for 128 groups this year. The baseline upward adjustment is 15.92% and that amount doubled for groups that treated high risk patients.

Andy Slavitt offers sympathy, no details on future EHR requirements

by: Roy Edroso Mar 3, 2016

I feel you, CMS Acting Adminsitrator Andy Slavitt basically told providers who struggle with CMS' meaningful use requirements on March 2. But his sympathetic comments at the annual HIMSS meeting did not come with details as to how he would make things easier or more effective.

ONC proposed rule would allow 'direct review' of HIT 'non-conformities,' direct lab oversight and public surveillance review

by: Roy Edroso Mar 1, 2016

Your EHR vendors may have to make sudden changes -- or even lose their certification -- if the Office of the National Coordinator of Health IT (ONC) finalizes its new proposed rule, which gives ONC a more active "direct review" of electronic health record (EHR) products and relationships, more control over lab testing of products for certification and power to post quarterly "surveillance results" for the public.

New CMS overpayments lookback period: Is it six years – or 10?

by: Roy Edroso Feb 26, 2016

One of the few silver linings for providers in the final overpayments rule is that the “look-back” period within which CMS will go after provider overpayments was reduced to just six years. But that won’t necessarily stop federal prosecutors from going after them for longer.

Proposed enrollment rule will have practices rethinking relationships

by: Julia Kyles, CPC Feb 26, 2016

What’s the worst thing that could happen to a practice if one of its partners hasn’t refunded and overpayment to the state’s Medicaid program? Under the proposed enrollment rule released on Feb. 25, the practice could have its application denied or revoked if it doesn’t report the debt during the enrollment or revalidation process.

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