In Billing
Feb 7th, 2018
Many quality measures in the Quality Payment Program include ICD-10-CM codes in either the numerator, denominator, exclusions, or exceptions, and used to determine patient eligibility. The accuracy of any measure, and the ability for eligible clinicians to meet data completeness, risk being compromised when ICD-10 codes are updated (October 1). Workflows that are not automatically updated, such as ...
In Billing
Dec 11th, 2017
It’s essential for applicable providers to know how the definition of an attribution-eligible Medicare beneficiary for the Advanced Alternate Payment Model (APM) track of the Comprehensive Care for Joint Replacement (CJR) Model for the purposes of making Qualifying APM Participant determinations in the Quality Payment Program (QPP). In a fact sheet, posted Dec. 6 on ...
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...
AAPC will help you navigate the sea of acronyms flooding your healthcare organization — for free. If you love acronyms, healthcare is the perfect industry for you; however, even those with a deep appreciation of these terms can get confused when a flood of new acronyms is released, potentially transforming the very structure of healthcare ...
In CMS
Oct 24th, 2017
The Centers for Medicare & Medicaid Services (CMS) is conducting a field test before implementing the Cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP). The Medicare Access and CHIP Reauthorization Act (MACRA) allows CMS to waive the Cost measure for two years, but reminiscent of the sustainable growth rate fiasco, ...