COVID-19 is a game-changer. Ever since President Trump declared a public health emergency (PHE) Jan. 31, the Centers for Medicare & Medicaid Services (CMS) has been issuing Social Security Act waivers to Medicare and Medicaid policies in rapid fire succession — including waivers to reporting requirements in the Merit-Based Incentive Payment System (MIPS). CMS has ...
Quality data submission may be optional in the months ahead. If you’re struggling to compile your Medicare quality reporting data, relief is in sight. In light of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) is offering much needed assistance with extensions to submission deadlines and additional hardship exceptions. “CMS recognizes that ...
In CMS
Dec 30th, 2019
Many clinicians earned Qualifying Alternate Payment Model Participant (QP) status during the 2017 performance period of the Quality Payment Program (QPP). But a long list of them are still eagerly awaiting their 5 percent lump sum incentive payment. The Centers for Medicare & Medicaid Services (CMS) began disbursing the 5 percent APM incentive payment to ...
In Billing
Nov 7th, 2019
Changes to diagnosis codes mean NCD coding changes. Diagnosis codes changes went into effect Oct. 1, as usual, and the Centers for Medicare & Medicaid Services (CMS) is updating National Coverage Determinations (NCDs) to reflect those changes. NCDs Affected by Updates to Diagnosis Codes CMS notes the following NCD coding changes in Change Request (CR) ...
Aug 15th, 2019
Several changes to the Merit-based Incentive Payment System (MIPS) track of the Quality Payment System (QPP) are outlined in a proposed rule for 2020 revisions to payment policies under the Physician Fee Schedule (PFS). Most of the proposed changes come as no surprise, but there is one proposal, in particular, that will make a huge ...