tci Medicare Compliance & Reimbursement - 2019 Issue 9

Compliance: Are You Ready for a MIPS Audit?

Tip: Back up measures’ submissions with documentation and dates. As CMS maintains a steady stream of rollbacks, turnarounds, and upsets, it’s easy to get discouraged by all the policy mayhem. Providers have a lot on their plates already with ramped-up claims scrutiny from Medicare carriers, RACs, CERT auditors, and more. And now Merit-Based Incentive Payment System (MIPS) submissions are under the audit microscope, and experts suggest its not a matter of if, but when. 2019 status reminder: Remember, the 2019 Quality Payment Program (QPP) participation standards were scaled back for Performance Year 3. Now, MIPS-eligible clinicians (ECs) must...

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