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Medicare Part A Claims to Be Held for January Release of Fiscal Intermediary Shared System
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Noridian has placed Medicare Part A claims with dates of service on or after Jan. 1, 2019, on a 15-day hold while pricing files are installed into the Fiscal Intermediary Shared System. The hold will allow claims to be verified for correct pricing to ensure proper payment. All claims held during this time will be released no later than Jan. 15.
CHA DataSuite Releases Analysis of Final Rule on Home Health PPS
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CHA DataSuite has issued hospital-specific analyses intended to show providers how Medicare fee-for-service payments will change from calendar year (CY) 2018 to 2019 based on the CY 2019 Medicare home health prospective payment system final rule.
CMS Proposes Risk Adjustment Changes for Medicare Advantage Plans in 2020
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The Centers for Medicare & Medicaid Services (CMS) has issued Part I of its 2020 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part D Payment Policies, including proposed updates to the risk adjustment model for capitated payments for MA plans, as required by the 21st Century Cures Act.
Federal Judge Rules Against 340B Reimbursement Cuts
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Last week, a federal judge ruled that the Department of Health and Human Services (HHS) exceeded its authority in the 2018 outpatient prospective payment system (OPPS) by substantially reducing reimbursements under the 340B Drug Pricing Program.
New Law Changes Training Requirements for Medical Licensure in California Starting in 2020
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A new law that takes effect in 2020 requires all physicians obtaining a California license to have at least three years of post-graduate training, rather than the current one year of training.
Health Care Facilities Reminded of New Requirement to Provide Plant-Based Meals
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The California Department of Public Health reminds health care providers that, effective Jan. 1, they must make plant-based meal options — without meat, poultry, fish, dairy or eggs — available to patients, in accordance with their physician’s orders. For more information about the law, see page 15 of CHA’s 2018 Report on Legislation.
CDC Updates Alert on Life-Threatening Coagulopathy Associated with Synthetic Cannabinoids
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The Centers for Disease Control and Prevention has updated its health alert addressing a multistate outbreak of coagulopathy — a bleeding disorder that impacts the way blood clots — that has been linked to synthetic cannabinoid use.
CMS Finalizes Changes to Medicare Shared Savings Program
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The Centers for Medicare & Medicaid Services (CMS) has issued a rule finalizing significant changes to the Medicare Shared Savings Program (MSSP), intending to accelerate the timeline for accountable care organizations (ACOs) to take on downside risk.
How blockchain will affect healthcare in the next 5 years
This post has been archived and contains information that may be out of date.
Leland Brewster, strategic investing director at healthcare advisory services firm Healthbox in Chicago, discusses the use of blockchain to put patients in control of their own data as well as his predictions on the technology’s imminent shifting area of focus in healthcare.
Responses have been lightly edited for clarity and length.
Question: Where is blockchain in healthcare now and how will it develop in 2019?