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MACRA, a qCDSM and the Value-Based Payment Modifier

July 20, 2017 by Bob Cooke

MACRA, a qCDSM and the Value-Based Payment Modifier

CMS recently proposed that healthcare providers on the MIPS payment track who attest to consulting a qualified CDSM across all advanced imaging orders in 2018 will receive credit towards their practice improvement activity. When integrated with a CEHRT, they can receive an additional Advancing-Care information score. During 2018, the “cost” category score will also contribute to future payment adjustments. The cost component of MACRA will be calculated based on the overall Medicare … [Read more...]

Filed Under: Blog, Legislation, MACRA, PAMA Tagged With: AUC, MACRA, MIPS, PAMA, Value-based

A PAMA Consultation – Revisited

November 22, 2016 by Bob Cooke

As this year’s election cycle has proven, making bold predictions this fall has turned out to be a bit of a crap shoot. In that vein, I thought I’d turn the fact checkers loose on my blog entry posted late last month regarding the rulemaking cycle for PAMA. So how accurately does the first blog entry reflect the Final Rule? Claim: The deadline for providers to report interactions with AUC through a qCDSM would be January, 1 2018. ☑   The Final Rule confirms the 2018 deadline. Claim: CMS would … [Read more...]

Filed Under: Blog, Legislation, PAMA Tagged With: AUC, CDSM, CMS, Compliane, PAMA, Payable Claims, Priority Clinical Areas

A PAMA Consultation

October 20, 2016 by Bob Cooke

A PAMA Consultation

When we start the conversation about imaging decision support one topic always jumps to the forefront – “PAMA”. The sections of 2017 MPFS proposed rule that relate to the implementation of decision support for compliance with the Protecting Access to Medicare Act of 2014 (PAMA) have a lot of nuances. From what we’ve heard out in the market, interpreting these nuances can be a daunting and confusing task. What We Know When diving in to the CMS proposed rule, four basics for PAMA compliant CDS … [Read more...]

Filed Under: Blog, Legislation, PAMA Tagged With: AUC, CDSM, CMS, Decision Support, Imaging, PAMA

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