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
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
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 ...
In Billing
Sep 18th, 2020
Quality reporting won’t pay off in 2020 for some eligible clinicians unless they do this. Eligible clinicians who achieved Qualifying Alternative Payment Model (APM) Participant (QP) status in 2018 should begin receiving their 5 percent incentive payment this month. More than 183,000 clinicians achieved QP status in the 2018 performance year of the Quality Payment ...