CMS is reviewing claims and letting practices know which clinicians need to take part in the Merit-based Incentive Payment System (MIPS), an important part of the new Quality Payment Program (QPP). In late April through May, you will get a letter from your Medicare Administrative Contractor tha... Read More
Physician and teaching hospital review and dispute for the Program Year 2016 Open Payments data publication ends May 15; review of the data is voluntary but strongly encouraged. Disputes must be initiated during the 45-day review and dispute period in order to be reflected in the June 30, 2017, pub... Read More
Prescribers, including dentists, who write prescriptions for Part D drugs are to be enrolled in an approved status or validly opted out with Medicare, in order for their patients’ prescriptions t... Read More
E&M services are the most reviewed by carriers and government bodies. Don't be Unprepared - Let NAMAS turn you into an E&M expert!
Are you primarily an Evaluation & Management (E&M) auditor? Or, are you looking to advance into E&M auditing? Our next 2-day E&M Auditin... Read More
Find-A-Code has posted the April 2017 edition of the Medicare Quarterly Provider Compliance Newsletter at:
http://www.findacode.com/medicare/medicare-quarterly-provider-compliance-newsletter.html
Topics include:
pg 3 - Comprehensive Error Rate Testing (CERT): Basic Life Support (BLS)... Read More
On February 3, 2017, the Department of Justice (DOJ) issued a Final Rule to increase the civil monetary penalties assessed under the False Claims Act (FCA), due to inflation for the year 2017, to an all-time high of $10,957 (minimum) to $21,916 (maximum) . Thirty years ago, in 1... Read More
On April 14, CMS issued a proposed rule that would update 2018 Medicare payment and polices when patients are admitted into hospitals. The proposed rule aims to relieve regulatory burdens for providers; supports the patient-doctor relationship in health care; and promotes transparency, flexibilit... Read More
Become a Certified Evaluation & Management Auditor (CEMA) in
Las Vegas, NV!
Attend the NAMAS 2-Day E&M Auditing BootCamp May 5 & 6 in Las Vegas at the Gold Coast Hotel!
Just prior... Read More
The MLN Connects® Provider eNews contains important news, announcements, and updates for health care professionals.
Wednesday, April 5, 2017
Home Health Services Pre-Claim Review Dem... Read More
The Annual Call for Measures and Activities for the Merit-based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP) will be open through June 30 . CMS encourages clinicians, measure stewards, organizations, and other stakeholders to identify and submit measures and act... Read More
What's new? Article Deadline Article Can I be Forbidden from Billing 99204 or 99214? Article Modifiers: Reporting Wound Dressings Article Reporting Severity/Complexity for Functional Limitation Article The Quality Payment Programs Arti... Read More
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