Resource Library

Tag: Regulatory updates and legislation

HCC evolution: Preparing for the shift from Version 24 to Version 28

Capturing complete clinical documentation and optimizing reimbursement can be difficult, especially as organizations prepare for the transition from CMS-HCC V24 to V28.…

Report

Clinical Documentation and Coding

Final MA payment model updates: Rate changes, CMS-HCC V28

CMS has finalized policy updates for Medicare Advantage (MA) plans, including major changes to reimbursement structures like CMS-HCC Version 28.

Article

Interoperability

Stars 101: Understanding Medicare Advantage ratings

Measuring satisfaction with health plans and health systems is important – and complex. This primer on Star Ratings breaks it all down.

Article

Financial Return

Searching for the right words: Exploring the need for patient-friendly terminology

Rules aimed at curbing the practice of information blocking and facilitating greater price transparency are driving the need for patient-friendly terminology. Learn…

Insight Brief

Clinical Documentation and Coding

Major changes proposed to Medicare Advantage payment models

CMS’ latest report proposed major changes to Medicare Advantage reimbursement structure and the clinical documentation used to capture HCCs.

Article

Interoperability

A history of home healthcare payment models

Home healthcare payment models have changed significantly throughout their 50-year history. Here’s an overview of what you need to know.

Article

Financial Return

Understanding payment models and value-based care

Want to move toward value-based care systems in your organization but overwhelmed by all the information? This eBook breaks VBC down –…

eBook

EHR workflows

The 21st Century Cures Act: Impacts on developers, providers, and patients

This paper focuses on the ONC Interoperability Rule and how it impacts HIT developers, providers, and patients.

White Paper

Regulatory updates and legislation

Twists and turns: New developments for the Inpatient Only List

The Inpatient Only List is here to stay – for now. See how this can impact provider reimbursements and more in this…

Insight Brief

Regulatory updates and legislation

The 21st Century Cures Act: A payer’s perspective

While the 21st Century Cures Act was signed into law in 2016, now that the final rules from CMS and ONC have…

White Paper

Regulatory updates and legislation

Interoperability, information blocking and the coming data tsunami

Increased interoperability in healthcare – specifically, the sharing of electronic health data between systems – can be an enormous help for clinicians.…

White Paper

Data Quality and Standardization

The 21st Century Cures Act in the age of COVID-19

This white paper explores the necessary but unfortunate delays to implementation of the 21st Century Cures Act, which focuses on information sharing…

White Paper

Regulatory updates and legislation

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Tag: Regulatory updates and legislation

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