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MULTIPLE INSURANCE COVERAGES

How to determine the order of multiple insurance coverages

By Ranadene (Randi) K. Tapio, MBA, CMRS, CMC, Guest Contributor  bio
When patients have multiple insurance coverage, at times it can be difficult to determine which one is primary, secondary, and tertiary. Sometimes, the patients don’t even know…


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2019 PHYSICIAN FEE SCHEDULE AND QPP

CMS finalizes changes to the Medicare Physician Fee Schedule and Quality Payment Program

Last week, the Centers for Medicare & Medicaid Services (CMS) finalized proposals that it says will address provider burnout and provide clinicians immediate relief from…


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MACRA

2018 Medicare Reimbursement: Final Rule

By Elizabeth Woodcock, Guest Contributor  bio
Just hours within the release of the Final Rule concerning the 2018 revisions to the Quality Payment Program (QPP) on November 2, the Centers for Medicare & Medicaid Services (CMS) published…


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MACRA

Quality Payment Program (QPP) Final Rule Released November 2

By Elizabeth Woodcock, Guest Contributor  bio
According to the Centers for Medicare & Medicaid Services (CMS), flexibility is the purported theme of the QPP Final Rule, which was issued under its official title…


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HEALTH INSURANCE EXCHANGES

2018 Health Insurance Exchanges Issuer County Map

The Centers for Medicare and Medicaid Services has posted an update to the Health Insurance Exchanges Issuer County Map. This map is of projected…


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2017 CMS QRDA III

Now available: 2017 CMS QRDA III Implementation Guide for Eligible Clinicians and Eligible Professionals, Schematron, and sample files

The 2017 CMS QRDA III IG for Eligible Clinicians and EPs provides technical instructions for QRDA III reporting for the following programs…


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