Industry Note: Verma Weighs in on 2017 QPP Results

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers CMS remarks on the first year of the Quality Payment Program and a related policy discussion about emergency department claim review in several states. It is relevant to professionals tracking MACRA-era reporting participation, Medicare quality payment policy, and payer utilization review controversies. The piece also mentions stakeholder reactions from emergency medicine advocates and a private insurer’s approach to non-emergent ED claims.

Why This Topic Matters

It helps readers understand the broader policy environment around Medicare quality payment participation and how private payer emergency department review policies are being challenged. The article is useful for compliance, revenue cycle, and physician practice leaders who monitor regulatory changes and payer coverage disputes.

Article Sections

  1. CMS and QPP Year 1 Participation

    Covers CMS commentary on inaugural-year participation in the Quality Payment Program and the agency’s stated direction on regulatory burden reduction.

  2. In Other News

    Summarizes a separate payer policy dispute involving emergency department claim reviews in multiple states and reactions from medical society leadership.

What You Will Learn

  • How CMS framed first-year participation in the Quality Payment Program
  • What broader policy themes CMS linked to its post-launch program adjustments
  • Why emergency department claim review policies are drawing concern from providers and patient advocates
  • Which types of stakeholders are discussing the payer policy controversy

Who Should Read This

  • Medical coders
  • Revenue cycle staff
  • Compliance professionals
  • Physician practice administrators
  • Healthcare policy analysts
  • Emergency medicine stakeholders

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