In CMS
Jun 11th, 2018
Participation by clinicians in the Merit-based Incentive Payment System (MIPS) exceeded targets, Seema Verma, administrator of the Centers for Medicare & Medicaid Services (CMS) recently crowed in a blog. Verma announced 91 percent of all eligible clinicians participated, topping the health agency’s 90 percent goal. Verma also revealed that 98 percent of Accountable Care Organizations (...
In Billing
Jun 7th, 2018
The Centers for Medicare & Medicaid Services (CMS)  issued a MLN Matters article ( MM10412 Revised) on May 31 with a retroactive effective date of January 1, 2018 clarifying documentation requirements when performed by Medical Students in a teaching situation. Confusion About Provider Participation There was confusion when this rule was first issued because coders, auditors ...
In MACRA
Jun 4th, 2018
June 30 is the last day clinician groups can register to use the Centers for Medicare & Medicaid Services (CMS) Web Interface to submit their Merit-based Incentive Payment System (MIPS) data and/or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS survey for the 2018 performance period. To register, visit the Quality Payment Program website. A ...
In Billing
May 23rd, 2018
Here’s a summary of the changes for the July update to the 2018 Medicare Physician Fee Schedule Database (MPFSDB). Changes are effective for dates of service on and after July 1, 2018. Indicator Change for RHC and FQHC Care Management Codes For the following two HCPCS Level II codes, the PC/TC indicator is changed to 0 (zero) ...
In Billing
May 23rd, 2018
Starting Oct. 1, hospital discharges to hospice care qualify as a post-acute care transfer and may have payment adjustments for Medicare patients. According to the Centers for Medicare & Medicaid Services (CMS) Transmittal 2055, change request 10602, under the policy regulations § 412.4: * When a patient is transferred to another hospital and their stay ...