The Merit-based Incentive Payment System (MIPS), like the adoption of ICD-10, will drive changes in systems configuration. These changes are necessary to bill services accurately from the provider side, and process claims correctly from the payer side. These configuration changes should be started as soon as possible to meet reporting deadlines, and so as not to affect negative ...
Apr 13th, 2017
On April 4, the Centers for Medicare & Medicaid Services (CMS) hosted a webinar to provide information on the Advancing Care Information (ACI) performance category of the Merit-based Incentive Payment System (MIPS). The ACI category is just one component of MIPS. For the 2017 performance year, there is also a Quality category and an Improvement ...
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
Nov 16th, 2016
Ever since the Centers for Medicare & Medicaid Services (CMS) released a notice of proposed rulemaking in April for the Merit-based Incentive Payment System (MIPS) and Alternate Payment Model (APM) incentive, staff has been inundated with questions from the healthcare community. What is the Quality Payment Program? What are MIPS and APMs? Who can participate ...
Continuing its efforts to educate healthcare providers and staff about the new Quality Payment Program, the Centers for Medicare & Medicaid Services (CMS) hosted an online webinar on Oct. 26, entitled Quality Payment Program Overview. Topics were based on stakeholder feedback and included: What is the Quality Payment Program? Who participates? How does the Quality Payment Program work? ...