Is your office among the clinicians that need to verify Medicare billing information by Dec. 13 in order to receive payments? The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program website includes 2020 Alternative Payment Model (APM) Incentive Payment details. To access information on the incentive amount and organization paid, clinicians and surrogates … [Read more...] about New deadline of Dec. 13 to update APM Incentive billing info
CMS
You have more time to start COVID-19 Medicare loan repayments
The Centers for Medicare & Medicaid Services (CMS) has announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) Program. This Medicare loan program allows CMS to make advance payments to providers and are typically used in emergency situations. Under the Continuing Appropriations Act, 2021 and Other Extensions Act repayment will now … [Read more...] about You have more time to start COVID-19 Medicare loan repayments
Here’s how to represent telehealth encounters in QRDA I Format for eCQMs
The Centers for Medicare & Medicaid Services (CMS) has posted additional guidance for using the Quality Reporting Document Architecture I (QRDA I) format to represent telehealth encounters for the Eligible Professional and Eligible Clinician electronic clinical quality measures (eCQMs) used in CMS quality reporting programs for the 2020 and 2021 performance periods. There … [Read more...] about Here’s how to represent telehealth encounters in QRDA I Format for eCQMs
Deadline Oct. 5 to ask for MIPS targeted review
If you participated in the Merit-based Incentive Payment System (MIPS) in 2019, your performance feedback, including your MIPS final score and payment adjustment factor(s), is now available for review on the Quality Payment Program website. This final score determines the payment adjustment you will receive in 2021, with a positive, negative, or neutral payment adjustment … [Read more...] about Deadline Oct. 5 to ask for MIPS targeted review
Physician Compare Preview Period open until Aug. 20
The Physician Compare 60-day Preview Period is officially open as of June 22. You can now preview your 2018 Quality Payment Program performance information before it will appear on Physician Compare profile pages and in the Downloadable Database. You can access the secured Preview through the Quality Payment Program website. Access the resource below on how to preview your … [Read more...] about Physician Compare Preview Period open until Aug. 20
Guidance on allowance of telehealth encounters in eCQMs now available
The Centers for Medicare & Medicaid Services (CMS) has posted guidance on the allowance of telehealth encounters for the Eligible Professional and Eligible Clinician electronic clinical quality measures (eCQMs) used in CMS quality reporting programs for the 2020 and 2021 performance periods. Guidance provided applies to eCQMs used in each of the following programs: … [Read more...] about Guidance on allowance of telehealth encounters in eCQMs now available
2019 Performance Period Suppressed MIPS Quality Measures
In the 2019 Physician Fee Schedule Final Rule (83 FR 59847), the Centers for Medicare & Medicaid Services (CMS) established a policy that provides for the suppression of measures in certain circumstances. Starting with the 2019 performance period, for measures significantly impacted by clinical guideline changes or other changes where the CMS believes that adherence to … [Read more...] about 2019 Performance Period Suppressed MIPS Quality Measures
CMS to provide accelerated and advanced payments during patient surge
In response to the COVID-19 pandemic, CMS will provide accelerated payments to requesting providers and advance payments to requesting suppliers, including physicians and non-physician practitioners, who submit a request to the appropriate Medicare Administrative Contractor (MAC) and meet the criteria: CMS intends to provide assistance first to those providers and suppliers … [Read more...] about CMS to provide accelerated and advanced payments during patient surge
CMS to launch new MIPS Participation Framework in 2021 Performance Period
CMS is implementing a new participation framework for the Merit-based Incentive Payment System (MIPS), called the MIPS Value Pathways (MVPs), starting with the 2021 performance period. The goal of this new framework is to move away from siloed performance category measures and activities, and move toward an aligned set of measures and activities that are more meaningful to … [Read more...] about CMS to launch new MIPS Participation Framework in 2021 Performance Period
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 … [Read more...] about MIPS 2020 payment adjustments in effect based on 2018 performance