CMS Releases List of Exclusions from BPCI Advanced Clinical Episodes
The Centers for Medicare & Medicaid Services Tuesday posted a list of Medicare-Severity-Diagnosis Related Groups that will be excluded from the clinical episodes of care in its Bundled Payments for Care Improvement Advanced model, a new voluntary bundled payment model that will qualify as an advanced alternative payment model under Medicare’s Quality Payment Program for clinicians. The announcement came just five days before applications to participate in BPCI Advanced are due. AHA last month recommended that CMS provide a complete package of information on the model by March 1, and delay the program’s application deadline from March 12 to April 16. However, CMS has stated it will not extend the deadline.
Related News Articles
Headline
The AHA July 3 released the Health Care Plan Accountability Update for the second quarter of 2025. The update covers the latest developments in Medicare…
Headline
The Departments of Justice and Health and Human Services today announced the creation of the DOJ-HHS False Claims Act Working Group to combat health care fraud…
Headline
The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers and suppliers. CMS said scammers…
Headline
A report released June 17 by NORC at the University of Chicago, commissioned by the Coalition to Strengthen America’s Healthcare, found that patients enrolled…
Headline
The Centers for Medicare and Medicaid Services May 30 released a notice requesting comments on a proposed Medicare Advantage service level data collection…
Headline
The AHA commented to the Centers for Medicare & Medicaid Services June 10 on the fiscal year 2026 inpatient prospective payment system proposed rule (https…