Clinical Resources Articles
Updates about coding and reimbursement, new practice guidelines, and telemedicine
The Centers for Medicare & Medicaid Services (CMS) recently announced that it will be overhauling the EHR Incentive Programs to improve flexibility, reduce physician burdens and advance health-information exchange and patient access measures. Some of the proposed changes include continuous 90-day electronic health record (EHR) [...]
The AASM has posted an updated scorecard for the diagnostic sleep apnea testing policy of UnitedHealthcare, which reflects changes made to the UHC policy effective Dec. 1, 2017. Also available from the AASM are scorecards for the policies of AIM Specialty Health and eviCore, [...]
Two recent developments signify a growing emphasis on value-based care in the U.S. health care system: establishment of a new flexibility within the Quality Payment Program (QPP) and creation of the Health Care Innovation Caucus. Beginning in performance year 2019, the “All-Payer Combination Option” [...]
As part of its Working Hours, Sleep, and Fatigue series, the National Institute for Occupational Safety and Health (NIOSH) is hosting the webinar, “Managing fatigue in safety-critical workforces: Primary risk factors and practical approaches,” on Wednesday, March 28, 2018 from 2 p.m. 3:30 p.m. [...]
On Mar. 15 the Medicare Payment Advisory Commission (MedPAC), an independent congressional agency charged with advising Congress on issues affecting Medicare, released to Congress its Medicare Payment Policy report, which calls for the replacement of the Merit-based Incentive Payment System (MIPS) with a new [...]
The deadline to submit data for the Merit-based Incentive Payment System (MIPS) via MIPSwizard is March 26, 2018. MIPSwizard helps guide clinicians through a few easy steps to rapidly collect, validate and submit performance results to the Centers for Medicare & Medicaid Services (CMS). [...]
The AASM Manual for the Scoring of Sleep and Associated Events, Version 2.5, will be released April 2, 2018. Based on the recommendations made by the AASM Scoring Manual Editorial Board, the American Academy of Sleep Medicine Board of Directors has approved the following [...]
Private insurance claims with a diagnosis of obstructive sleep apnea grew 850 percent in the U.S. from 2014 to 2017, according to a press release from FAIR Health, a national, independent, nonprofit organization dedicated to bringing transparency to health care costs and health insurance [...]
To help providers of positive airway pressure (PAP) therapy avoid improper payments and denials due to insufficient documentation, the Centers for Medicare and Medicaid Services (CMS) Medicare Learning Network (MLN) recently posted a fact sheet, "Provider compliance tips for PAP devices and accessories including [...]
MIPS-eligible clinicians participating in the Merit-based Incentive Payment System (MIPS) as an individual or as part of a group can apply to participate in a Centers for Medicare & Medicaid Services (CMS) study to evaluate the burdens associated with reporting quality measures. The purpose [...]