Aug 15th, 2019
Several changes to the Merit-based Incentive Payment System (MIPS) track of the Quality Payment System (QPP) are outlined in a proposed rule for 2020 revisions to payment policies under the Physician Fee Schedule (PFS). Most of the proposed changes come as no surprise, but there is one proposal, in particular, that will make a huge ...
In CMS
May 21st, 2019
The electronic clinical quality measure (eCQM) specifications for the 2020 reporting/performance period are now available. Eligible reporting entities should, “Work with your coding department and health information technology (IT) vendor to ensure your systems have been updated to the latest code versions,” during pre-check, advises the Centers for Medicare & Medicaid Services (CMS). Do the ...
In Billing
Feb 12th, 2019
Is putting patients in control of their healthcare a cure for what ails this country? At the 2019 Centers for Medicare & Medicaid Services (CMS) Quality Conference in Baltimore, Maryland, Jan. 29-31, CMS Administrator Seema Verma spoke about the agency’s vision to transform the healthcare system through competition and innovation. “We are prioritizing a well-informed, ...
Act now to score positive payment adjustments under MIPS. This year, the Cost performance category in the Merit-based Incentive Program (MIPS) is worth 10 percent of an eligible clinician’s or group’s final score. Next year, it goes up to 15 percent — and Cost will continue to gain weight until it accounts for 30 percent ...
In Audit
Jul 5th, 2018
Eligible clinicians can now see the results of their 2017 performance in the Merit-based Incentive Payment System (MIPS). Feedback includes performance category scores, final scores, and 2019 MIPS payment adjustments. The Centers for Medicare & Medicaid Services (CMS) is mandated under MACRA to adjust payments for professional services furnished to Medicare patients provided by MIPS ...