Talk Ten Tuesdays

Four New Cost-Efficiency Models from CMS

March 08, 2022 John Zelem, MD | Laurie M. Johnson, MS | Susan Gatehouse | James Kennedy, MD | Erica Remer, MD Season 12 Episode 498
Talk Ten Tuesdays
Four New Cost-Efficiency Models from CMS
Show Notes

Only here on Talk Ten Tuesdays will you learn the whole story behind the latest request from the Centers for Medicare & Medicaid Services (CMS). The agency is asking for feedback on four cost-efficiency models as part of the Merit-Based Incentive Payment System (MIPS) program. The deadline is fast approaching: March 25, 2022. The proposed cost-efficiency models for the CY 2023 MIPS cover positions including emergency physician, psychiatrist, and cardiologist/hospitalist.  

During the next live broadcast, CDI physician expert Dr. James S. Kennedy of CDIMD in Nashville, Tenn. will report on CMS’s proposed implementation of these cost-efficiency models, which will be effective Jan. 1, 2023, as authorized by the Medicare and CHIP Reauthorization Act of 2015 (MACRA) – as well as the role CDI teams have in ensuring success in avoiding physician financial penalties of up to 2.7 percent.

The live broadcast will also feature these other segments: 

  • Coding Report: Coordination and Maintenance Committee Meeting: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC will file two reports on the Coordination and Maintenance Committee (C&M) meeting that will be underway at the time of this broadcast from CMS headquarters in Baltimore. Johnson will also file a follow-up report on the C&M meeting at the conclusion of the broadcast. 
  • Tuesday Focus: Continuous Glucose Monitoring: Susan Gatehouse, founder and CEO for Axea Solutions, will report on continuous glucose monitoring (CGM) systems, designed to improve the ability to treat and manage diabetes using everyday technology. However, is the coding for the treatment and management of diabetes adequately captured? 
  • News Desk: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will anchor the Talk-Ten-Tuesdays News Desk.
  • TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.