Physician Notes: Calculate 2019 Part B Pay from Updated MIPS Data

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This brief CMS-related article is for physicians, eligible clinicians, and billing/coding staff tracking Medicare Part B payment impacts under the Quality Payment Program. It summarizes the release of updated MIPS performance information, points readers to the CMS portal where the data can be reviewed, and mentions the option to request a targeted review when payment-related issues are found. The article is relevant to practices that monitor performance feedback, payment adjustments, and related CMS administrative processes.

Why This Topic Matters

Updated performance data can affect Medicare payment adjustments, so practices need to know where to review their information and how to respond if an error or participation issue is identified.

What You Will Learn

  • How updated MIPS performance information relates to Medicare Part B payment adjustments
  • Where CMS makes performance feedback available
  • What a targeted review is in the context of payment adjustment issues
  • Which general types of problems may prompt a review request
  • The timing and finality of the review request process

Who Should Read This

  • Physicians
  • Eligible clinicians
  • Medicare Part B providers
  • Medical billing staff
  • Coding compliance staff
  • Practice administrators

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