Recipients of Payments more than $10,000 in the aggregate under the following distributions: General Distributions: Phase #1-Medicare Phase #2-Net Patient Revenue Phase #3-Equality for Net Patient Revenue across more provider types plus additional allocation (undefined at this point) based on…
The COVID pandemic expanded telehealth coverage availability across almost all health plans (Commercial/Medicaid/Medicare) by eliminating originating site criteria and expanding codes covered in a telehealth setting. For the most part, we’re still in a holding pattern on current coverage guidance;…
Every year, CMS updates and revises the Quality Payment Program for MIPS & APMs. This year is no different, despite the on-going pandemic. In the summer, CMS released a Proposed Rule that would further evolve the program for the next…
SHP has added new dates and topics in our Fall webinar series, which focuses on a variety of current and bottom line-impactful topics. These webinars serve as a tool to educate and provide actionable takeaways for healthcare providers on real…
Attached is a guide on how to submit for mid-levels via the Provider Maintenance Form for BCBSGA. If submission is done as an “Organization” a roster can be uploaded so it won’t be as tedious as completing a form per…
As a reminder, the SHP Fall Lunch ‘n’ Learn series are continuing on with sessions scheduled over the next two weeks. Please join us at 12:00 p.m. tomorrow, September 16, 2021, for an update on Georgia’s Managed Care market and…
Strategic Healthcare Partners in conjunction with Michele Madison at Morris, Manning & Martin present a review of the recent final rule issued by CMS requiring hospitals to release and publish pricing information BEFORE providing services. We have heard many questions…
MIPS Reporting Year 2020 Guidance Update After weeks of waiting, CMS has finally updated its MIPS guidance around the Reporting Year 2020 (RY2020). While CMS may make additional changes, this is the first major change for RY2020 we have seen…
Despite the on-going health crisis, the Quality Payment Program is still in full swing for Reporting Year 2020. MIPS practices, ACOs, and APMs are all expected to report their 2020 performance in Q1 2021. So far, CMS has only made…