Medicaid and CHIP Core Set Reporting: Essential Updates for Multi-Specialty Coders by January 2024
What Changed
Action required by
January 1, 2024
Review the Action Required section below and ensure your team has completed all compliance steps before this date.
What Changed
The Medicaid and CHIP Core Set Reporting requirements, effective January 1, 2024, mark a significant shift in the Medicaid Program from a volume-based to a quality-based payment system. This change mandates annual reporting of specific health care quality measures for state Medicaid and Children's Health Insurance Program (CHIP) programs. The focus is now on quality measures that will influence coding practices and documentation.
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Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.