tci Outpatient Facility Coding Alert - 2019 Issue 6

MIPS: Report MIPS Radiation Codes, Avoid Negative Payment Adjustments

Give your provider the best shot at a positive payment adjustment. Merit-based Incentive Payment System (MIPS) reporting requires that coders, practice managers, and physicians are routinely on the same page. If not, there are financial repercussions at stake for the provider. For instance, a physician’s quality reporting for 2019 could yield a +/- 7 percent payment adjustment. For independent diagnostic testing facility (IDTF) coders, you’ve got to be aware of measures involving the imaging of incidental lesions to mammographic result categorizations to carotid stenosis measurements. Some of these measures are relatively straightforward; but others, like radiation dose...

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