In CMS
May 4th, 2018
The Quality Payment Program is well into its second performance year. Are your clinicians ready? Clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) are already behind schedule if they haven’t selected measures on which to submit data to the Centers for Medicare & Medicaid Services (CMS). CMS has been busy posting on ...
In CMS
Apr 20th, 2018
The Centers for Medicare & Medicaid Services (CMS) is conducting the 2018 Burdens Associated with Reporting Quality Measures Study. Clinicians and groups who are eligible for the Merit-based Incentive Payment System (MIPS) that participate successfully in the study will receive full credit for the 2018 Improvement Activities performance category. Time is of the Essence The ...
In Billing
Mar 1st, 2018
Beginning Jan. 1, 2018, clinicians may report on Medicare Part B claims submitted for items and services the applicable HCPCS Level II modifiers established for patient relationship categories. Although the use and selection of these modifiers are not be a condition of payment, yet, clinicians should prepare for the likelihood of them becoming applicable components ...
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 ...