CMS finalized updates to the IPFQR Program for FY 2026, including the new Psychiatric Inpatient Experience (PIX) Survey, measure removals, and revised reporting rules. Here’s what psychiatric and behavioral health facilities must know to stay compliant and protect reimbursement.
CMS’s Information Transfer PRO-PM requires hospitals to survey all HOPD patients 18+ on discharge instructions—creating new challenges for anonymous collection, continuous sampling, and turning data into quality improvements.
Registered nurses, pharmacists, and anesthesia staff can document chronic narcotic use for CMS THA/TKA PRO-PM, as long as it aligns with their scope of practice and is supported by clear workflow and policy. CMS does not require a physician to make the assessment.
CODE Technology hosted a national webcast, Crack the CODE on CMS PROs: Real-World Lessons from Health Systems, where leaders shared their experiences managing PROMs and meeting CMS requirements. This blog recaps the top frequently asked questions, with real-world answers and strategic takeaways.
Struggling with CMS THA/TKA PRO-PM compliance? Learn how leading hospitals are achieving high patient-reported outcome (PRO) capture rates with third-party vendors—and why CODE Technology is the trusted choice for streamlined, compliant PROMs programs.
In order to address the growing demand for kidney transplants, CMS introduced the Increasing Organ Transplant Access (IOTA) Model.
The CY 2025 OPPS and ASC Final Rule brings significant updates, including a $4.7 billion increase in payments and new reporting requirements.
If you have concerns regarding your organization’s ability to meet the CMS THA/TKA PRO-PM or want to understand the financial impact, this blog is a great first step.
We cover three key concepts of TEAM that are crucial to understanding how the new mandatory model aims to enhance care coordination and manage costs effectively.
The box-and-whisker plots are very effective and easy to read. They summarize data much better than just a simple ‘average’, and provide a deeper insight into the distributional characteristics of a group of scores. Learn how to read Box and Whisker Plots and Reports with examples.
Ever wondered why the THA/TKA PRO-PM, mandated by IQR, OQR, and ASCQR programs, includes a question on narcotic use 90 days before surgery?
Starting January 1, 2026, CMS is rolling out TEAM (Transforming Episode Accountability Model) as part of the FY2025 IPPS Final Rule.