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There's no place like a patient-centered medical home. That's what a close reading of the voluminous merit-based incentive payment system (MIPS) quality-reporting and alternative payment model proposed rule, issued April 27, tells us about policymakers' delivery model du jour.
In March, we shared results of the value-based modifier (VBM) program, which saw winners and losers in terms of 2016 payment rates. Practices that saw a big pay boost (up to +32%) clearly did well on their measures reporting -- and you can seize the opportunity to improve your bottom line as well.
Light broke on hospital providers as CMS relented on payment cuts tied to the controversial two-midnight rule.
Physicians overwhelmingly support the critical nature of advance care planning (ACP), yet many providers believe they lack the necessary infrastructure or resources to perform these end-of-life discussions with their patients.

CMS said in an April 13 provider call that to bill advance care planning (ACP) without a preventive service, you need to show the service is “relevant to the patient’s disease state,” which would seem to mean it requires a diagnosis code.

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