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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Learn What’s New for MIPS in 2022

Stay on top of the latest changes to help your providers earn positive payment adjustments and favorable consumer ratings this year. Here we are, year six of the Quality Payment Program (QPP). How time flies. The Centers for Medicare & Medicaid Services (CMS) had until the 2022 performance period/2024 payment period to fully implement the […]

The post Learn What’s New for MIPS in 2022 appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Final Rule Updates MIPS for 2021 and beyond

CMS continues to phase in the Quality Payment Program while MACRA mandates loom. The long-awaited Physician Fee Schedule (PFS) final rule, now pending publication in the Federal Register, finalizes proposed updates to the Quality Payment Program (QPP) and its two tracks — the Merit-Based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs) — […]

The post Final Rule Updates MIPS for 2021 and beyond appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

What’s In Store for MIPS Eligible Clinicians?

Quality Payment Program participation gets a little easier in some ways, tougher in others. A proposed rule published in the Aug. 17 Federal Register outlines potential changes to the Quality Payment Program (QPP) starting Jan. 1, 2021. Rather than implementing certain provisions finalized last year, however, the Centers for Medicare & Medicaid Services (CMS) is […]

The post What’s In Store for MIPS Eligible Clinicians? appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

COVID-19 Derails 2019 MIPS Data Reporting

COVID-19 is a game-changer. Ever since President Trump declared a public health emergency (PHE) Jan. 31, the Centers for Medicare & Medicaid Services (CMS) has been issuing Social Security Act waivers to Medicare and Medicaid policies in rapid fire succession — including waivers to reporting requirements in the Merit-Based Incentive Payment System (MIPS). CMS has […]

The post COVID-19 Derails 2019 MIPS Data Reporting appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Due to Covid-19 Crisis Providers Can Skip 2019 CMS MIPS Reporting

Due to the COVID-19 pandemic, CMS has announced relief measures for providers who are bound to participate in its quality reporting programs, including the Merit-based Incentive Payment System (MIPS).

First, CMS is extending the deadline for submission of 2019 MIPS data from March 31, 2020, to April 30, 2020. Second, and perhaps most significantly, if no MIPS data is submitted by MIPS-eligible clinicians by the April 30 deadline, those clinicians will automatically qualify for the existing “extreme and uncontrollable circumstances policy” and will be guaranteed a neutral (0%) Medicare Part B payment adjustment for the 2021 MIPS payment year.

A link to the full CMS statement is available at: https://www.cms.gov/newsroom/press-releases/cms-announces-relief-clinicians-providers-hospitals-and-facilities-participating-quality-reporting

The post Due to Covid-19 Crisis Providers Can Skip 2019 CMS MIPS Reporting appeared first on The Coding Network.

The Coding Network

Big Changes Ahead for MIPS in 2020 and Beyond

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 […]

The post Big Changes Ahead for MIPS in 2020 and Beyond appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Help Clinicians Factor Cost into the MIPS Equation

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 […]

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AAPC Knowledge Center

MIPS 2017: The Results Are In!

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 […]

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AAPC Knowledge Center

MIPS payment posting by secondary payers

When our Medicare claims cross over to Medicaid, Medicaid is not reading the MIPS adjustment code correctly. They are applying the adjustment against the CO-45, creating a patient balance of what Medicare’s MIPS amount was.

Medicare when primary is processing MIPS correctly and the payments are posting correctly.

Is anyone else seeing this with their Medicare crossover to Medicaid claims?

Thannks for any input! :)

Medical Billing and Coding Forum