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Medicare and Medicaid audits(Comments Off on Medicare and Medicaid audits)

November 1, 2015

This column provides an overview of seven common CMS audits that could affect physicians, and describes the penalties and appeals process for each.

The final rule on the Medicare Shared Savings Program

The Affordable Care Act (ACA) includes a provision for the Centers for Medicare & Medicaid Services (CMS) to create the Medicare Shared Savings Program (MSSP). This program would establish a payment structure for accountable care organizations (ACOs), which would be responsible for the quality, cost, and overall care of Medicare beneficiaries. CMS issued a final […]

Quality and Resource Use Reports

The purpose and methodology of Quality and Resource Use Reports are explained in this month’s column.

The transition to ICD-10 before October 1 compliance deadline

This month’s column summarizes changes reflected in the new code sets and highlights resources available to aid in the transition.

Expired and expiring ACA provisions

This month’s column summarizes provisions in the Affordable Care Act that have expired or are set to expire in the near future and offers guidelines for surgeons to advocate for extending key programs.

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