Physician Practices: Here's what to expect in 2020 CMS (Medicare) issued its Final Rule - This final rule updates payment policies, payment rates, and other provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2020. Here's a sneak peek at a few of … [Read more...]
Now available: 2018 MIPS final scores impacting 2020 payments
Update from the Medical Group Management Association: Performance Feedback If your group practice submitted 2018 Merit-based Incentive Payment System (MIPS) data, you can now view performance feedback, final scores, and 2020 payment adjustments by logging into the Quality Payment … [Read more...]
Medicare Provider Enrollment Alert – Issues resulting from recent Provider Enrollment, Chain and Ownership System (PECOS) Release
PECOS Release 7.37 was implemented On June 30, 2019, PECOS Release 7.37 was implemented. This release was prescheduled and designed to bring efficiencies to Medicare Administrative Contractors (MACs) and providers who use PECOS. While many aspects of the release were successful, a small component … [Read more...]
New Medicare Card: 75% of Claims Submitted with MBI
Many providers are using the new Medicare Beneficiary Identifier (MBI) for Medicare transactions. For the week ending June 14, providers submitted 75% of fee-for-service claims with the MBI. Help protect your patient’s personal identity by using their MBI for Medicare business, including … [Read more...]
Medicare Shared Savings Program: Do You Plan to Apply to be an ACO?
CMS announced Notice of Intent to Apply (NOIA) and application cycle dates for a January 1, 2020, start date for the Medicare Shared Savings Program – Pathways to Success - Opens in a new window . Beginning June 11, 2019, CMS will start accepting NOIAs via the Accountable Care … [Read more...]
CMS Releases All-Payer Guidance – CMS Quality Payment Program
CMS is collecting information and documentation to determine whether payment arrangements qualify as Other Payer Advanced Alternative Payment Models (APMs) under the Quality Payment Program (QPP). Payers with commercial payment arrangements may submit Other Payer Advanced APM … [Read more...]