Medical coders and auditors are essential to their employer’s outcome in the Cost performance category. Of the four performance categories in the Merit-based Incentive Payment System (MIPS), — one of two tracks for participation in the Quality Payment Program (QPP) — Cost is the most worrisome because clinicians do not have control over this portion of ...
Mar 22nd, 2019
Of the 1,057,824 clinicians eligible to participate in the Merit-based Incentive Payment System (MIPS) in the inaugural year, 1,006,319 (95 percent) participated in MIPS and avoided a negative payment adjustment, according to the Centers for Medicare & Medicaid Services’ (CMS) 2017 Quality Payment Program (QPP) Experience Report. The report, which CMS released March 21, provides ...
In Billing
Feb 28th, 2019
With this being the first payment year of the Merit-based Incentive Payment System (MIPS), MIPS eligible clinicians and clinician groups should start tracking payment adjustments in their Medicare Part B claims. Billing staff also may want to prepare for questions from patients who are privy to the information. Lots at Stake Based on performance in ...
Nov 16th, 2018
A final rule released for public inspection Nov. 2 finalizes policy for Year 3 (2019/2021) of the Quality Payment Program (QPP). The Centers for Medicare & Medicaid Services (CMS) continues to implement the Merit-based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs), as required by law (i.e., MACRA), while working to reduce the ...
Jul 18th, 2018
Medical professionals and other stakeholders have until September 10 to make a difference in the course of future healthcare reforms. Tucked into a proposed rule to update the Medicare Physician Fee Schedule for 2019, released for public inspection on July 12, the Centers for Medicare & Medicaid Services (CMS) proposes policy changes for Year 3 of the Quality Payment Program ...