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In CMS
Mar 1st, 2022
Stay on top of the latest changes to help your providers earn positive payment adjustments and favorable consumer ratings this year. The Centers for Medicare & Medicaid Services (CMS) had until the 2022 performance period/2024 payment period to fully implement the Quality Payment Program (QPP) and its two tracks for participation: the Merit-Based Incentive Payment ...
Jan 29th, 2021
Comments Off on eCQMs and Telehealth
CMS guidance clarifies MIPS measure specifications. Which electronic clinical quality measures (eCQMs) include telehealth-eligible encounter codes, and which do not? Guidance from the Centers for Medicare & Medicaid Services (CMS) identifies the eCQMs that eligible clinicians may report for the Merit-Based Incentive Payment System (MIPS) 2021 performance period to receive credit, even if the en...
In Billing
Dec 8th, 2020
Comments Off on Final Rule Updates MIPS for 2021 and Beyond
CMS continues to phase in the Quality Payment Program while MACRA mandates loom. The long-awaited Physician Fee Schedule (PFS) final rule, now pending publication in the Federal Register, finalizes proposed updates to the Quality Payment Program (QPP) and its two tracks — the Merit-Based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs) — ...
In CMS
Nov 30th, 2020
Comments Off on Feds Revise Stark Law and Anti-kickback Statute
Two final rules make value-based programs less of a liability for physicians. The Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) announced, Nov. 20, coordinated efforts to revise the physician self-referral law, or Stark law, and anti-kickback statute through rulemaking to make value-based programs less risky for healthcare providers to ...
In CMS
Oct 28th, 2020
The Appropriate Use Criteria (AUC) program, slated to begin Jan. 1, 2021, has been postponed. A notice on the Centers for Medicare & Medicaid Services (CMS) website states that the educational and operations testing period will now continue through 2021. “We encourage stakeholders to use this period to learn, test and prepare for the AUC ...