Still trying to figure out the who, what, when and where of the upcoming healthcare deadlines? It can be hard to stay up-to-date with all of the changes with policies and payments. Check out the following timeline to plan for the changes over the next couple of years.
EPs who have met MU stage 1 for 2 or 3 years will need to meet Stage 2 criteria to qualify for incentive payments. However, CMS proposed an extension of Stage 2 through 2016 and beginning Stage 3 in 2017 for those providers that have completed at least 2 years in Stage 2.
Starting in 2014, doctors, hospitals and health plans have new rules to follow for electronic fund transfer (EFT) and remittance advice transactions. By eliminating administrative obstacles to electronic claim payments, the U.S. Department of Health & Human Services said the new rules will save up to $9 billion over 10 years.
Individuals in households with incomes below 400% of the federal poverty level qualify for substantial premium tax credit subsidies under the Affordable Care Act.
The healthcare reform law establishes prospective payment system for federally qualified health centers (FQHCs) under Medicare part B, increasing payments by about 30% (with a final rule sometime in 2014).
As of Oct. 1, 2014, healthcare organizations must convert to ICD-10 coding system. Under the final rule, all health insurers must use a unique health plan identifier (HPID).
In July 2013 the White House delayed by one year the reform law's mandate that employers provide health insurance coverage for their workers. Employers with at least 50 full-time employees must offer health benefits or pay a penalty of $2,000 per full-time employee, excluding the first 30 employees.
The Centers for Medicare & Medicaid Services will apply a value modifier under the Medicare Physician Fee Schedule so payments to physicians emphasize quality of care rather than volume of services.
Centers for Medicare and Medicaid Services calls for Stage 3 to begin in 2017 but only for eligible professionals who have completed at least two years in Stage 2. Federal officials say goals of a simultaneously proposed one-year extension to Stage 2 are to utilize data from Stage 2 to "inform policy decisions" for Stage 3.
The Affordable Care Act will impose a 40 percent excise tax on the cost of health plans that exceed a certain threshold--$10,200 for individual coverage and $27,500 for family coverage.
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