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Quality Payment Program
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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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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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AUC

Appropriate Use Criteria Testing Period Extended

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In CMS
Oct 28th, 2020
3 Comments
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 ...
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