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Value-based care and quality payment models have made coding an integral part of the Medicare Access and CHIP Reauthorization Act (MACRA), Merit-Based Incentive Payment System (MIPS), and Quality Payment Program (QPP). While CHCs are eligible, but not obligated to report via QPP and penalties for 2017 data do not impact CHC PPS payments, CHC exclusion won't last forever. Learning how current CHC coding/billing patterns impact how your organization, individually, and CHCs, collectively, are perceived may change the historic CHC tune of "coding does not matter."
During this session, attendees will gain a better understanding of the evolution and the future of the value-based care national landscape including the insurance industry perspective. Leave with tools that allow you to execute an effective 'top-down' QPP game plan including ICD-10 coding specifics and physician documentation improvement.
Better understand the past and future implications of value-based care models.
Grasp the importance of clinical coding in fiscal success as we move towards QPP.
Create a ‘top-down’ education plan to ensure success in the face of QPP.
Session presenters will review the Financial Capacity Review document, currently utilized by the Division of Financial Integrity (DFI) of HRSA, to analyze financial policies and procedures in place at health centers…
As the population ages and the Medicare percentage of total patients increases for most community health centers, a focus on optimizing revenue from this important payer continues…
There are many considerations involved in deciding to have an in-house pharmacy or to use a contract 340B pharmacy. A "contract pharmacy" is a pharmacy that is owned by an organization other than the health center…
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