Tag:Health Insurance
IRS Ruling Threatens Future of Commercial ACOs, Cost-Reducing Healthcare Providers
Connie Zhang Associate Editor Loyola University Chicago School of Law, JD 2018 Your healthcare may come from an accountable care organization, and you may not even know it. That could soon change now that the IRS has denied one commercial accountable care organization (ACO) the tax-exempt status granted to most nonprofit health care providers. …
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MACRA 101: Physician Fee Schedule Adjustments and the New Pick Your Pace Options
Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017 In this article, we will cover the anticipated reimbursement scheme for both MIPS and APMs, as well as briefly discuss two new reporting paths recently revealed to be available to clinicians in 2017. One of the most attractive pieces of the …
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CMS Issues Proposed Rule Addressing Multiple Fraud and Abuse Concerns
Kaitlin Lavin Executive Editor Loyola University Chicago School of Law, JD 2017 The Centers for Medicare and Medicaid Services (CMS) recently proposed a new rule in the Federal Register that addresses changes in Medicare payment policies. The proposed rule aims to inform providers of proper billing practices and prevent fraud and abuse. This post …
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MACRA 101: A Series on MACRA
Alanna J. Kroeker Executive Editor Loyola University Chicago School of Law, JD 2017 The Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law by President Obama back in April 2015 and one year later, the Centers for Medicare and Medicaid Services (CMS) released the highly anticipated proposed rule. This 962-page rule is …
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