tci Medicare Compliance & Reimbursement - 2019 Issue 2

Reimbursement: Review Key MSSP Final Rule Updates

ACOs must notify beneficiaries in writing about MSSP participation. In an effort to boost value-based care and provide greater Medicare savings, CMS issued the Medicare Shared Savings Program (MSSP) final rule last month. The MSSP change-ups modify policies, restructure payment models, and revise benchmarking methodologies for Accountable Care Organizations (ACOs). Check out these MSSP final rule specifics that go into effect on Feb. 14, 2019: Track change: CMS went ahead and reduced the previous three-track system to two — Basic and Enhanced. ○ Basic: This lower-level path offers five levels, A through E, that glide from one-sided options (A...

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