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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

National Decision Support Company’s Clinical Decision Support Mechanism has been Fully Qualified by the Centers for Medicare & Medicaid Services

July 18, 2017 by National Decision Support Company

NDSC’s Mechanism, known as CareSelect Imaging™/ACR Select™, has been Qualified for Use with the Protecting Access to Medicare Act (PAMA) and the Medicare Access and CHIP Reauthorization Act (MACRA) Madison, WI (July 18, 2017) – National Decision Support Company announces the full qualification of its CareSelect™ Platform as a Qualified Clinical Decision Support Mechanism (qCDSM) by the Centers for Medicare and Medicaid Services (CMS) for compliance with the Appropriate Use Criteria (AUC) … [Read more...]

Filed Under: News Tagged With: CMS, CY2018, MACRA, MPFS Proposed Rule, PAMA, qCDSM

The CY2018 Medicare Physician Fee Schedule (MPFS) Proposed Rule – The Upshot

July 14, 2017 by Bob Cooke

The CY2018 Medicare Physician Fee Schedule (MPFS) Proposed Rule – The Upshot

Not surprisingly, this year’s rulemaking cycle proposes to delay the implementation of the Protecting Access to Medicare Act (PAMA) to January of 2019. The additional time will allow healthcare providers to implement the claims reporting requirements as detailed in the proposed rule and for CMS to implement the required changes in the claims process. The team at NDSC is developing our summary of the rule and will be updating our customers over the next several weeks. What’s important about … [Read more...]

Filed Under: Blog, Legislation, PAMA Tagged With: CY2018, MACRA, MPFS Proposed Rule, PAMA

PAMA and MACRA – A Surprising Twist

June 22, 2017 by Bob Cooke

In the recent proposed rule for year two of The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Centers for Medicare and Medicaid Services (CMS) have introduced a surprising twist - linking the Protecting Access to Medicare Act (PAMA) to MACRA. Tucked away on page 178 of the proposed rule is a new improvement activity linked to the Advancing Care Performance Category. This improvement activity allows organizations who have implemented a qualified Clinical Decision Support … [Read more...]

Filed Under: Blog, Legislation, MACRA, PAMA Tagged With: CMS, MACRA, PAMA, qCDSM, The Medicare Access and CHIP Reauthorization Act, The Protecting Access to Medicare Act

Walking Paper

February 16, 2017 by Bob Cooke

Walking Paper

Imaging orders flow to furnishing sites in a variety of ways. Too often, these orders are “sent” via the patient, who leaves the caregivers office with a piece of paper. We get a lot of questions about how to manage walking paper, including orders via email and the trusty fax machine, with consideration of the new PAMA requirements. Here is our solution. A PAMA Refresher The central requirement of the Protecting Access to Medicare Act of 2014 requires that caregivers who order advanced imaging … [Read more...]

Filed Under: Blog, Legislation, PAMA Tagged With: ACR Select, Advanced Imaging, Ambulatory, CareSelect Imaging, PAMA, The Protecting Access to Medicare Act, Walking Paper

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