In Billing
Nov 20th, 2017
The Centers for Medicare & Medicaid Services (CMS) filed a notice in the Federal Register on Nov. 17 announcing the 2018 inpatient hospital deductible and hospital and extended care services coinsurance amounts for services furnished under Medicare Part A. Effective Jan. 1, 2018, the inpatient hospital deductible will be $1,340; the daily coinsurance amounts will be: ...
Nov 15th, 2017
On Oct. 2, 2017, Change Request 9911 modified the Medicare Remittance Advice (RA) for Qualified Medicare Beneficiary (QMB) claims to identify QMB patients and reflect zero cost-sharing liability. As a result, certain payers secondary to Medicare were unable to process direct-billed claims because patient responsibility deductible and coinsurance amounts on the Medicare Remittance Advice (RA) showed...
In CMS
Nov 14th, 2017
Together, low-volume eligible clinicians can earn positive Part B payment adjustments in 2020. Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. The Centers for Medicare & Medicaid Services (CMS) finalized their policy for virtual groups in the 2018 Quality Payment Program ...
In Billing
Nov 10th, 2017
The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. CMS Finalizes 2018 MPFS Payment and Policy Changes was last modified: November 10th, 2017 by Renee Dustman...
In Billing
Nov 9th, 2017
The Centers for Medicare & Medicaid Services (CMS) released more than 320 changes in the 2018 HCPCS Level II code set November 6, and many are payment-related. 153 New HCPCS Level II Codes There are 11 new modifiers this year. These include two modifiers meant to better track 340b drug pricing; CMS is moving to cut ...