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Category Archives: Medicaid and Medicare

Do the MACRA – Changes are coming sooner than you think

MACRA EHR

To end the year on a high note, Centers for Medicare & Medicaid Services (CMS) released the Final Rule on October 14, 2016, for the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA). The changes provide the most complex and significant change to reimbursement in over 20 years. But how soon will these […]

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Clinicians soon to be rewarded for providing quality patient care with new Medicare Payment System (MACRA)

apm-vs-mips

With efforts of providing clinicians the tools and flexibility to provide high-quality, patient-centered care, the Department of Health & Human Services (DHHS) recently finalized and published a new payment system for Medicare clinicians, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  This new system was designed with input from thousands of clinicians and […]

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What Federally Qualified Health Centers (FQHC) Need to Know About the 340B Drug Program

prescription bottle

While healthcare funding and new regulations continue to evolve, there can often be confusion about various programs for federally funded centers on how these programs intersect. For safety-net providers like Federally Qualified Health Centers (FQHC) and publicly funded family planning clinics, plans like the 340B drug pricing program are intended to stretch scarce federal resources […]

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Are You Down with PPS?

If you are currently billing to Medicaid or Medicare, you are likely familiar with the Prospective Payment System (PPS) outlined by the Centers for Medicare and Medicaid Services (CMS). For Federally Qualified Health Centers (FQHC) or those looking to get Health Center designation, PPS rates are updated yearly and the system is changed more frequently […]

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