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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
Comments Off on Thousands of Clinicians Stand to Lose 5% Revenue
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 ...
Aug 21st, 2020
Comments Off on What’s In Store for MIPS Eligible Clinicians?
Quality Payment Program participation gets a little easier in some ways, tougher in others. A proposed rule published in the Aug. 17 Federal Register outlines potential changes to the Quality Payment Program (QPP) starting Jan. 1, 2021. Rather than implementing certain provisions finalized last year, however, the Centers for Medicare & Medicaid Services (CMS) is ...
May 27th, 2020
Comments Off on COVID-19 Derails 2019 MIPS Data Reporting
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 ...