In CMS
Dec 30th, 2019
Many clinicians earned Qualifying Alternate Payment Model Participant (QP) status during the 2017 performance period of the Quality Payment Program (QPP). But a long list of them are still eagerly awaiting their 5 percent lump sum incentive payment. The Centers for Medicare & Medicaid Services (CMS) began disbursing the 5 percent APM incentive payment to ...
Technology still requires human input to ensure the integrity of automated front-end and back-end processes. Ten years ago, the healthcare industry was pushed into the digital world via the Health Information Technology for Economic and Clinical Health Act (HITECH); and while some healthcare professionals felt uprooted and/or poorly equipped for this change, others used it ...
Aug 15th, 2019
Several changes to the Merit-based Incentive Payment System (MIPS) track of the Quality Payment System (QPP) are outlined in a proposed rule for 2020 revisions to payment policies under the Physician Fee Schedule (PFS). Most of the proposed changes come as no surprise, but there is one proposal, in particular, that will make a huge ...
In Billing
May 22nd, 2019
The use of Social Security Numbers (SSNs) for identification and record-keeping purposes is an outdated practice, and it will soon be a violation on the Standard Paper Remit (SPR) generated by Medicare Administrative Contractors (MACs). The Centers for Medicare & Medicaid Services (CMS) has instructed MACs, in CR 11289, to update the SPR to ensure ...
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 ...