OCM Performance Period 2 Results: Practices Still Addressing Performance Gaps and Challenges with CMS Logic

Earlier this year, Oncology Care Model (OCM) practices received their first set of performance results for Performance Period 1, measuring the period of time with episodes between July 1st of 2016 and January 1st of 2017. These included the PP1 Initial Reconciliation Report and the PP1 MEOS Recoupment Report. These early assessments indicated that many […]

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The 8 Questions EMS Billing Companies are Hoping You Don’t Ask on Your Next RFP

The rising prominence of the Triple Aim has increased pressure on EMS providers to optimize patient satisfaction and reduce healthcare costs – all while still attending to medical emergencies. This financial burden is exacerbated by industry competition, rising expenses (liability insurance, equipment, fuel, etc.) and process inefficiency. As a result, many organizations are turning to […]

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OCM Practices React to Performance Period 1 Results, Plan to Contest MEOS Recoupment

OCM Performance Period 1 Results Revealed an Unwelcome Surprise In February, practices participating in the Oncology Care Model (OCM) program received their Performance Period 1 (PP1) initial reconciliation reports, which summarized actual expenditures from July 1, 2016 through December 31, 2016, and determined whether total episodic costs of care were higher or lower than CMS […]

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EMS Pain Assessment

What do you do if you arrive on scene to find a patient who is pale and bordering on delirium in obvious pain? Your training kicks in – all of your senses alert and observing, probing, questioning, prompting and assessing every available vital statistic within moments of clapping eyes on the situation. In mere seconds, […]

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Survey Reveals Specialists Still Unprepared for MACRA

Survey Reveals Specialists Still Unprepared for MACRA

It has been well-documented that many physicians are confused by value-based reimbursement models under the Quality Payment Program – but interestingly enough, little has been discussed about how prepared specialists are for this regulation. After all, specialists manage some of the nation’s sickest patients and costliest treatments and, therefore, may have the most to lose […]

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