In CMS
Dec 10th, 2018
The 2019 HCPCS Level II code set includes an unusual nine new modifiers that help medical coders and billers accurately report services recently adopted or changed by Medicare. Some are already effective; others are effective January 1, 2019. Modifiers CO and CQ Modifiers CO and CQ identify therapy services provided by an occupational therapy assistant ...
In CMS
Jan 18th, 2018
The 2016 Value Modifier (VM) performance results and 2018 payment adjustment factor are now available: Out of over 1 million clinicians, only approximately 20,000 will see an upward VM payment adjustment in their Medicare Physician Fee Schedule (MPFS) payments this year. This may not be a good time to ask for that raise. Table A shows ...
In Billing
Dec 13th, 2016
The Centers for Medicare & Medicaid Services (CMS) has implemented value-based programs to measure quality and cost of care provided to Medicare patients. The Value Modifier (VM) is a value-based payment adjustment mechanism that CMS has been phasing in since 2015, which means the rules change every year. Here is how the VM might apply ...
In CMS
Jul 26th, 2016
On July 25, the Centers for Medicare & Medicaid Services (CMS) proposed new payment models that would reward hospitals for working with healthcare providers to avoid complications, prevent hospital readmissions, and speed recovery in patients admitted for cardiovascular disease or hip/femur fracture. The notice of proposed rulemaking contains three new policies: New bundled payment models for ...
In MACRA
Apr 28th, 2016
In a Notice of Proposed Rulemaking, released April 27, the Centers for Medicare & Medicaid Services (CMS) took a giant step toward a quality-based payment system. The proposed rule sets out to establish the Merit-based Incentive Payment System (MIPS) for eligible clinicians or groups paid under the Medicare Physician Fee Schedule (MPFS). As required by the ...