In Audit
Nov 22nd, 2017
The Office of Inspector General (OIG) is recommending Rush University Medical Center, Chicago, Ill., refund $10.2 million in Medicare overpayments based on an audit sample of 120 inpatient and outpatient claims. Rush allegedly did not fully comply with Medicare billing requirements for 57 of the claims, resulting in overpayments of $814,150 for the audit period (2014-2015). The OIG ...
In MACRA
Nov 22nd, 2017
CMS resources can help eligible clinicians earn a positive payment adjustment in 2019. The initial performance year of the Quality Payment Program (QPP), and its two tracks – the Merit-based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs), is quickly coming to an end, Dec. 31. Eligible clinicians who report a full year of 2017 ...
In CMS
Nov 14th, 2017
Together, low-volume eligible clinicians can earn positive Part B payment adjustments in 2020. Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. The Centers for Medicare & Medicaid Services (CMS) finalized their policy for virtual groups in the 2018 Quality Payment Program ...
In Billing
Nov 10th, 2017
The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. CMS Finalizes 2018 MPFS Payment and Policy Changes was last modified: November 10th, 2017 by Renee Dustman...
In CMS
Nov 6th, 2017
The Centers for Medicare & Medicaid Services (CMS) issued, Nov. 2,  a final rule with comment period for payment and policy updates to the Quality Payment Program (QPP) in 2018 and beyond. Conjointly, CMS issued an interim final rule with comment period to address the extreme and uncontrollable circumstances that occurred this year, which may have impeded affected clinicians’ performance ...