There is change in the air. Providers are leaving behind substandard business models and replacing reaction with progressive ideas designed to refocus on value and the patient. Time and attention resources are finite, so it is important that new initiatives are developed with purpose. At MiraVista, we have found the following five steps to be extraordinarily useful.
“I don’t know what they want from me
It’s like the more money we come across,
The more problems we see.”
- The Notorius B.I.G.
I love HGTV. It amazes me every time they transform a ratty kitchen or bathroom into something straight from the pages of a magazine. It inspires me. The problem is that it also convinces me I can renovate my entire house in 30 minutes (excluding commercials, of course).
I worry the retroactive delay to fee schedule cuts in the 21st Century Cures Act may be a bit of the same. There is little doubt that reprocessing six months of affected Medicare claims will generate significant amounts of cash for many providers. The mere reprocessing of claims, however, no more reflects the complete responsibility for the provider than the delivery of cabinetry results in a completely remodeled kitchen.
On February 7, 2017, CMS announced a temporary delay in advancing Round 2019. The pause in the rollout was initiated to give the new presidential administration a chance to review the program.
For now, all information related to Round 2019 released on January 31, 2017, has been removed from both the CMS and CBIC websites. However, when the program resumes, updates will again appear in these two primary locations.
MiraVista will continue to follow this topic and communicate developments as they occur. Make sure to follow us here on our Blog and subscribe to our newsletter!
The 21st Century Cures Act was signed into law on December 13, 2016 and, when implemented, DME suppliers will receive a retroactive rollback of Medicare reimbursement cuts. This limited reprieve will impact claims with service dates between July 1, 2016 and December 31, 2016.
MiraVista has learned that CMS is working closely behind the scenes with the DME MACs on formal instructions. Once the official instructions have been published, we anticipate that automated claims reprocessing will occur shortly thereafter. CMS is likely to hold an Open Door Forum to further communicate provision details. DME-specific updates for the Cures Act can be found on the DME Center page of the CMS website. MiraVista will continue to monitor developments on the Cures Act closely and will issue further communications as updates develop.
To help suppliers get a full understanding of how much money will be coming through and how to prepare for the wash of activity attributable to the Cures Act reprocessing initiative, MiraVista will be hosting a webinar on Thursday, February 16 titled “Give it to me straight, Doc: What Suppliers Need to Know about the Cures Act.” We hope you’ll join us.