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MIPS

Tips for Successful MIPS Participation

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In Billing
Jan 3rd, 2023
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This year, take measures to earn a positive payment adjustment on your Medicare claims. Are you ready for Merit-Based Incentive Payment System (MIPS) in 2023? The Medicare performance-based incentive program can be overwhelming and confusing to anyone, whether your practice is an annual MIPS participant or a novice. With impending cuts to Medicare reimbursement, however, ...
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MIPS 2022

Learn What’s New for MIPS in 2022

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In CMS
Mar 1st, 2022
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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 ...
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eCQM

eCQMs and Telehealth

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In Quality Payment Program
Jan 29th, 2021
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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...
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MACRA

Final Rule Updates MIPS for 2021 and Beyond

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In Billing
Dec 8th, 2020
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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) — ...
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stark law and anti-kickback

Feds Revise Stark Law and Anti-kickback Statute

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In CMS
Nov 30th, 2020
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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 ...
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