General Surgery Coding Alert - 2016 Issue 35
Physician Notes: ONC's Creative New Tool Keeps Providers Up-To-Date on Upcoming Quality Measures
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Article Overview
This physician-news roundup covers two separate Medicare-related topics. First, it introduces an ONC/CMS resource centered on electronic clinical quality improvement and electronic clinical quality measures, aimed at helping providers, vendors, and other stakeholders stay informed about quality-measure tools and standards. Second, it summarizes a DOJ/HHS-OIG enforcement matter involving skilled nursing facilities and alleged medically unnecessary therapy services, explaining why the case matters for Medicare program integrity and patient protection.
Why This Topic Matters
The article is relevant to readers tracking Medicare quality reporting, health IT resources, and government enforcement actions affecting skilled nursing facilities. It may help providers, compliance staff, and coding/billing professionals understand current federal priorities around quality measurement and fraud prevention.
Article Sections
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ONC eCQI Resource Center
Introduces a federal online resource focused on electronic clinical quality improvement, standards, tools, and related health IT information. The section frames the resource as useful for multiple stakeholder groups involved in quality measurement.
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SNF enforcement and false claims case
Summarizes a government enforcement matter involving skilled nursing facilities, alleged fraud, and civil settlement activity. The section discusses the broader program-integrity context and the federal agencies involved.
What You Will Learn
- What the ONC eCQI Resource Center is intended to support
- How federal quality-measure resources fit into Medicare’s shift toward patient-centered care
- What kinds of organizations and stakeholders the resource is meant to serve
- How government enforcement actions can relate to skilled nursing facility billing and therapy services
- Why Medicare program integrity remains a focus for federal agencies
Who Should Read This
- Physicians
- Health information technology professionals
- Compliance officers
- Billing and coding professionals
- Skilled nursing facility administrators
- Medicare stakeholders
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