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 ...
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 ...
In CMS
May 21st, 2019
The electronic clinical quality measure (eCQM) specifications for the 2020 reporting/performance period are now available. Eligible reporting entities should, “Work with your coding department and health information technology (IT) vendor to ensure your systems have been updated to the latest code versions,” during pre-check, advises the Centers for Medicare & Medicaid Services (CMS). Do the ...
In Billing
Apr 18th, 2019
Annual Wellness Visits (AWV) are covered by Medicare annually, but they are often confused with other types of examinations, so the Centers for Medicare & Medicaid Services (CMS) has published an MLN booklet to help medical coders and their providers keep them all straight. Annual Wellness Visit Components AWVs are only provided annually. The AWV ...
Medical coders and auditors are essential to their employer’s outcome in the Cost performance category. Of the four performance categories in the Merit-based Incentive Payment System (MIPS), — one of two tracks for participation in the Quality Payment Program (QPP) — Cost is the most worrisome because clinicians do not have control over this portion of ...