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Many clinicians earned Qualifying Alternate Payment Model Participant (QP) status during the 2017 performance period of the Quality Payment Program (QPP). But a long list of them are still eagerly awaiting their 5 percent lump sum incentive payment. The Centers for Medicare & Medicaid Services (CMS) began disbursing the 5 percent APM incentive payment to […]
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I’m now on a fact-finding mission – if your office receives payments from an insurer (including state Medicaid) for incentive programs (quality of care metrics), how do you bill these payments? What codes do you use? Do you submit it on a "normal" claim for a member or is it billed separately on its own claim? If it is billed separately, how do you report quality metrics to the insurer to make sure your patients are getting counted correctly?
Thank you for your help!
CMS extended the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Preview Period for Payment Year (PY) 2017 through 5 pm ET on Friday, September 30, 2016. The Preview Period is an opportunity for outpatient dialysis facilities to review their scores before they are finalized.
Facilities with PY 2017 ESRD QIP scores that fail to meet or exceed the minimum Total Performance Score face reimbursement reductions of up to 2 percent for dialysis treatments that will be rendered during 2017.
For more information, visit the ESRD QIP website, review the materials from the August 2 MLN Connects® Call, or contact us at [email protected].
The Medical Management Institute – MMI – Medical Coding News & MMI Updates