Medicare Secondary Payer Background Medicare law and regulations require all entities that bill Medicare for services or items given to Medicare beneficiaries to decide whether Medicare is the primary payer for those services or items before submitting a claim to Medicare. (See Section 1862(b)(2) … [Read more...]
Medicare Wellness Visits-An Often Missed Revenue Opportunity
Medicare Wellness Visits Medicare covers wellness visits, and your patients pay nothing if you accept assignment. The Part B deductible doesn’t apply. You should recommend the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV) to get your patients off to a healthy start … [Read more...]
CMS Expansion of Telehealth Services During COVID-19
Medicare & Medicaid Telehealth Services The Centers for Medicare & Medicaid Services (CMS) expanded the list of telehealth services that Medicare Fee-For-Service will pay for during the coronavirus disease 2019 (COVID-19) Public Health Emergency (PHE). CMS is also providing additional … [Read more...]
Medicare’s Quality Payment Program Website Updated
Medicare's Quality Payment Program The Centers for Medicare & Medicaid Services (CMS) has updated the Quality Payment Program website to include 2020 Alternative Payment Model (APM) Incentive Payment details. To access this information, clinicians and surrogates can now log in to the QPP … [Read more...]
What’s Ahead for Physician Practices in 2020
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...]