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QUALITY PAYMENT PROGRAM

MIPS 2020 payment adjustments in effect based on 2018 performance

In July 2019, each Merit-based Incentive Payment System (MIPS) eligible clinician received a 2018 MIPS Final Score and associated payment adjustment factor(s) as part of their 2018 MIPS performance feedback, available on the Quality Payment Program website. 2020 MIPS payment adjustments, based on each MIPS eligible clinician’s 2018 MIPS final score, will now be applied to payments made for Part B covered professional services payable under the Physician Fee Schedule. Payment adjustments are determined by the final score associated with your Taxpayer Identification Number (TIN)/National Provider Identifier (NPI) combination. MIPS eligible clinicians, identified by TIN/NPI combination for the 2018 performance period, will receive a positive, neutral, or negative MIPS payment adjustment in 2020 if they: Were a clinician type that was included in MIPS; Enrolled in Medicare prior to Jan…. . . . read more.

BILLING & COLLECTIONS

5 ways to break down bureaucracies to get payer contracts

By Steve Selbst bio It is important to remember that payers are large companies, with protocols, policies and business practices. As with any large company, there are bureaucracies, and they are necessary to maintain the order and success of these organizations. Therefore, the first tip is to understand that to get contracted you need to identify the right department and right person to send your request to get contracted. This is usually the payer contracting department and payer contracts’ manager. Generally, you will be sending your requests to the payer contracts’ manager in your state. A common mistake is to—instead—send these requests to provider relations or to another department. This brings us to our second tip. That is, figure out the approach the payer is using to establish its fee… . . . read more.

BLOG

How to assess the overall health of your medical practice

By Nick Hernandez  bio
How do you know that your overall business is healthy? How do you know that the business processes you perform are…


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REVENUE CYCLE MANAGEMENT

Improving your revenue cycle efficiency

Modern medical practices are experiencing immense pressures as a result of increased regulatory scrutiny, changing reimbursement mechanisms, and a shift toward…


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INCREASING PROFITS

How to make a collection call to a patient

A collection call to a patient should never be offensive. But it does need to be firm. Remember, the goal is to collect an…


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READER TIPS

Getting that new patient info into EHR before appointment

Here are some reader tips for getting new patient information into the electronic health records prior to…


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BILLING & COLLECTIONS

CMS releases 2020 Proposed Rule for the Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) has released its proposed policies for the 2020 performance year of…


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MEDICARE REIMBURSEMENT

MIPS bonuses are easy to earn—IF you can get into the program

The Centres for Medicare and Medicaid Services (CMS) has announced the results of…


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INCREASING PROFITS

Deadline to submit a MIPS Targeted Review Request is this month

If you participated in the Merit-based Incentive Payment System (MIPS) in 2018, your performance feedback, which includes…


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COLLECTIONS

Why you need an office policy on collecting fees

Most medical practices take time once a year to create new office goals or a business plan and, hopefully, to upgrade their policy manuals…


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