Quality reporting has been a challenge for all providers, with specific concerns for anesthesia practices. On the bright side, the past 10 years of quality reporting has served well as a primer for what lies ahead. A brief review of quality reporting, then and now, will provide some clarity and prepare you for the future ...
This year marks the first performance year in the Merit-based Incentive Payment System (MIPS) — a new payment adjustment system within the Centers for Medicare & Medicaid Services’ (CMS) Quality Payment Program, which replaces three separate programs: Physician Quality Reporting System (PQRS) Value-based Payment Modifier (VM) Medicare Electronic Health Record (EHR) Incentive Program In 2019, ...
In Billing
Dec 13th, 2016
The Centers for Medicare & Medicaid Services (CMS) has implemented value-based programs to measure quality and cost of care provided to Medicare patients. The Value Modifier (VM) is a value-based payment adjustment mechanism that CMS has been phasing in since 2015, which means the rules change every year. Here is how the VM might apply ...
In Billing
Dec 7th, 2016
If your Medicare claim was rejected because you properly used the 2017 ICD-10-CM codes, the Centers for Medicare & Medicaid Services (CMS) is willing to give you lenience on your Physician Quality Reporting System (PQRS) reporting for up to two years, but only for certain quality measures. This year’s ICD-10-CM displayed its first changes in ...
In MACRA
Aug 23rd, 2016
What does MACRA mean for physician practices? On May 9, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to put in place key parts of MACRA. CMS proposes to make these changes through a single framework called the Quality Payment Program. This infographic will inform you of what we know, ...