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 ...
The Centers for Medicare & Medicaid Services (CMS) released July 3 the 2018 Merit-based Incentive Payment System (MIPS) performance feedback and final score, which includes all MIPS eligible clinician’s or clinician group’s final scores for last year and payment adjustment factors for next year. Depending on how your clinician(s) did, now may be a good ...
Jun 17th, 2019
Never miss another education opportunity that offers AAPC-approved continuing education units (CEUs)! Look in the Knowledge Center for weekly announcements of upcoming events. Here’s what is available this week: Setting Your Business Up for MIPS Success in 2019 DATE: Tuesday, June 18 – 10 AM PT | 1 PM ET CUE Credit: 1.0 Cost: FREE In ...
In Billing
May 23rd, 2019
Beginning July 2019, oncologists who are part of the Center for Medicare & Medicaid Services’ (CMS) voluntary Oncology Care Model (OCM) who haven’t achieved a performance-based payment (PBP) will be switched from a 1-sided risk model to a 2-sided risk model.   According to an Avalere study, half of those being switched will lose money. Avalere advises ...