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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 […]
The post Check Remittance Advice for MIPS Payment Adjustments appeared first on AAPC Knowledge Center.
Right out of the gate, Medicare Incentive-based Payment System (MIPS) adjustments were incorrectly applied to nonphysician services and supplies. This error is being corrected by the Centers for Medicare & Medicaid Services (CMS), but what if no one caught it? MIPS eligible clinicians and clinician groups could have improperly lost or gained considerable revenue. This […]
The post Ensure Proper MIPS Payment Adjustments with a Targeted Review appeared first on AAPC Knowledge Center.
If your 2019 Medicare Part B claims payments aren’t adding up as expected, there may be a good explanation: the Centers for Medicare & Medicaid Services goofed. The agency recently discovered that an error in the implementation of the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment was causing Medicare Part B drugs and other […]
The post MIPS First Payment Year Not Off to a Good Start appeared first on AAPC Knowledge Center.
A 7 percent payment update in your professional claims is at stake. That’s a nice bonus on top of the automatic 0.5 percent update to the Physician Fee Schedule (PFS). This is the last year for the automatic update, however. The only shot clinicians have at a PFS payment update in 2020 and beyond is […]
The post Ignore New MIPS Requirements at Your Own Risk appeared first on AAPC Knowledge Center.
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 […]
The post CMS Discloses Requirements for Positive Payments Under MIPS in 2021 appeared first on AAPC Knowledge Center.
The Centers for Medicare & Medicaid Services (CMS) has identified four quality measures impacted by the Oct. 1 update to the ICD-10-CM code set. Providers submitting performance data under the Merit-based Incentive Payment System (MIPS) should limit data collection to the first nine months (Jan. 1 – Oct. 1) of the performance period for these […]
AAPC Knowledge Center
Want to earn some Brownie points with your clinicians? Let them in on a little-known opportunity to earn bonus points in the Improvement Activities performance category under the Merit-based Incentive Program (MIPS). First, Some Background The Improvement Activities performance category is one of four performance categories in MIPS. Out of a final score of 100, […]
AAPC Knowledge Center
Clinicians have until October 1 to review their 2017 Merit-based Incentive Payment System (MIPS) final score and performance feedback and, if applicable, request a targeted review by the Centers for Medicare & Medicaid Services (CMS). Immediate Action Required Eligible clinicians who participated in MIPS should review their MIPS final score and performance feedback, available on […]
AAPC Knowledge Center
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 […]
AAPC Knowledge Center
An updated version of Quality Measure Specifications supporting documents was released June 25. Clinicians participating in the Merit-based Incentive Payment System (MIPS) and using either a registry or claims submission method will need this information to ensure proper reporting of quality measures on qualified patients. What Are Quality Measures? Quality measures are tools that help […]
AAPC Knowledge Center