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Compliance Begins With YOU

“Real integrity is doing the right thing, knowing that nobody’s going to know whether you did it or not.” -Oprah Winfrey” Mahatma Gandhi said: “Be the change you want to see in the world.” Essentially it means you can make a difference, if you choose to. We are all responsible for results (good or bad) Read More

CMS Quality Payment Program

On October 14, 2016, the Department of Health and Human Services (HHS) issued its final rule with comment period implementing the Quality Payment Program that is part of the Medicare Access and CHIP Re authorization Act of 2015 (MACRA). The Quality Payment Program improves Medicare by helping you focus on care quality and the one Read More

A4 Quality and Regulatory Update

  What is a PCMH-N (Patient Centered Medical Home-Neighborhood) and how does it relate to A4? • PCMH-N is a BCBSM program developed to strengthen the relationship between specialists and primary care physicians in the delivery and coordination of care, and to assist each provider in achieving higher levels of patient engagement and care coordination. Read More