In Audit
Sep 28th, 2018
The Centers for Medicare & Medicaid (CMS) is releasing the Quality Payment Program (QPP) computer code responsible for calculating quality measures from Medicare claims data submitted by eligible clinicians via Quality Data Codes (QDCs). This code is intended for developers interested in the calculation mechanism supporting QPP Claims to Quality. If QPP is part of your ...
In the Medicare Physician Fee Schedule (MPFS) proposed rule for 2019 payment policies, the Centers for Medicare & Medicaid Services (CMS) introduces radical changes to the way healthcare practitioners would be reimbursed for evaluation and management (E/M) services furnished to their Medicare Part B patients beginning in 2019. At the crux of the debate that ensued with the ...
In CMS
Sep 11th, 2018
The Centers for Medicare & Medicaid Services (CMS) knows there is a lot of administrative overhead when submitting medical claims for payment. To help you navigate through the red tape, CMS has created a “Administrative Simplification Basics Series,” where you can Sign up for Administrative Simplification email updates. The series helps the healthcare community use electronic ...
In Billing
Sep 10th, 2018
A proposed change to signature requirements in 2019 may effect your practice. The Physician Self-referral Law, or Stark Law,  prohibits physicians to refer Medicare patients for certain designated health services (DHS) to an entity with which the physician (or a member of the physician’s immediate family) has a financial relationship. The DHS entity is held to the ...
CMS comment submitted by American Osteopathic Association representatives on AMA RUC September 5, 2018, with tracking number: 1k2-9592-adpg Starting 2019, the Centers for Medicare & Medicaid Services (CMS) proposes enacting Multiple Procedure Payment Reduction (MPPR) if an evaluation and management (E/M) service and procedure are performed on the same date of service. Citing abuse of ...