The Medicare Physician Fee Schedule (MPFS) 2017 Final Rule offers some big updates related to global periods, non-face-to-face services, telehealth, and moderate sedation coding, among others, according to the Centers for Medicare and Medicaid Services (CMS) when it released the rule Nov. 2. For instance, the MPFS rule addresses the agency’s efforts to collect data […]
Although reporting under the Medicare Access and CHIP Reauthorization Act (MACRA) is supposedly optional, not adhering to this new rule gets you a guaranteed Medicare reimbursement cut. The only way to head it off is to report at least some data in 2017. The question is, how should you report it? This is no small […]
Almost every practice I speak with has issues with collecting payments from patients. There are so many things that can happen, and the last thing you want is for your patients to leave your practice confused or angry because they aren’t clear about their bill. When I was chatting with one of our speakers, Rhonda […]
You now have one more Advanced Alternative Payment Model (APM) for which you can qualify in 2017 and two more for 2018, according to an Oct. 25 press release from the Centers for Medicare and Medicaid Services (CMS). In particular, the CMS Innovation Center’s Oncology Care Model with two-sided risk will be available in 2017, […]
On Oct. 1, you lost the ICD-10 reporting grace period that the Centers for Medicare and Medicaid Services (CMS) granted to help ease you into complying with the new diagnosis coding system. So, why should you care? For the past year, you’ve been receiving payments for claims that were coded close to the target. All […]
Oct. 17, 2016 — On Friday, Oct. 14, the Centers for Medicare and Medicaid Services (CMS) announced the final reporting requirements for its new MACRA rule going into effect Jan. 2017. This new program is about to turn how you are paid completely upside down. Based on MACRA, your Medicare reimbursement will be increased or […]
Oct. 14, 2016 — There can be no more speculation as to whether the Centers for Medicare and Medicaid Services (CMS) will go live with its Medicare Access and CHIP Reauthorization Act (MACRA) regulations on Jan. 1. Earlier today, CMS released the final MACRA rule after considering more than 4,000 comments and having 100,000 attendees […]
The Medicare Access and CHIP Reauthorization Act (MACRA) could transform healthcare, but if the Centers for Medicare and Medicaid Services (CMS) doesn’t follow congressional intent with its regulations, compliance could become even more complicated than the current system. This is according to 18 congressional members in a recent letter to CMS Acting Administrator Andrew Slavitt […]
Get ready — MACRA is definitely going live Jan. 1, and will most certainly have a huge impact on your claims payments. Before you jump on the MACRA bandwagon, you need to make sure that the program really applies to you. The Centers for Medicare and Medicaid Services (CMS) recently announced that it would release […]
On Sept. 26, the Centers for Medicare and Medicaid Services (CMS) made available for download your 2015 Physician Quality Reporting System (PQRS) Feedback Reports and 2015 Annual Quality and Resource Use Reports (QRUR). These reports lay out your positive, neutral or negative payment adjustments under the PQRS and Value-Based Modifier programs, respectively, for your 2017 […]
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