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Quality Payment Program Articles and Resources

News and Important Information

Quality Measures Finalized for 2019

The Money in MIPS

The Quality Payment Program is Medicare's performance based payment system for Medicare Part B services. Providers may participate by choosing one of the following two tracks:

  1. The Merit-based Incentive Payment System (MIPS)
  2. Advanced Alternative Payment Models (APMs)

CLICK HERE to check your participation status, research applicable measures, and to review guidance on MIPS, APMs, etc.

CLICK HERE to go to CMS' new QPP Resource Library.

Additional information regarding this program can be found in a specialty-specific Reimbursement Guide available in the online store.

 

General Links and Resources

QualityNet News

QualityNet News

Quality Reporting Articles

Click the article title to view a summary and link to the full article.

Q/A: Is G8730 Still Required? Are G Codes Required at all?

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G8730, when is it required. Many G codes are still active and are required for non-quality reporting.

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Quality Measures Finalized for 2019

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CMS recently announced that the quality measures for 2019 have been finalized. There are new eligible clinicians so be aware of how that may affect your organization. New ECs are: Physical therapists Occupational therapists Qualified speech-language pathologists Qualified audiologists Clinical psychologists Registered dietitian or nutrition professionals The following are changes to Electronic Clinical Quality Measures (eCQMs) available ...

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Are you Ready for CMS' 2019 Medicare Physician Fee Schedule Final Rule?

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The waiting is over, the Final Rule for CMS' 2019 Medicare Physician Fee Schedule (MPFS) is available - all 2,379 pages for those looking for a little light reading. As anticipated, there are some pretty significant changes. Most of us were carefully watching the proposed changes to the Evaluation and ...

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Small Practices are Affected by MIPS Increased Thresholds

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We recently heard about a small practice that had been faithfully submitting all the required “G” codes for the Quality Payment Program (QPP) only to discover that for 2018 they are excluded from MIPS because the low volume threshold increased from $30,000 in Part B allowed charges or 100 Part ...

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How Does the Physician Compare Website Affect You?

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The physician compare website may not be working quite the way you think it is. Not all providers will have rankings showing up for them. Physician compare lists basic information, but quality measure information was not added until this year (2018) and not all quality measures are included in the ...

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The Money in MIPS

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Seema Verma, Administrator of the Centers for Medicare and Medicaid Services (CMS), recently announced that 91% participated in the first year of the Quality Payment Program (QPP), barely squeaking by their goal of 90%....

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Using a 2015 Certified EHR in MIPS Year 2

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The following information is from BC Advantage. As of Dec 31, 2017, Acumen EHR v8.0 achieved Office of the National Coordinator for Health Information Technology (ONC-Health IT) 2015 edition certification! What's a 2015 CEHRT?A CEHRT (Certified EHR Technology) is defined by CMS specifically for their incentive payment programs such as...

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Patient Relationship Codes

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Section 1848(r)(4) of MACRA requires that claims submitted for items and services furnished by a physician or applicable practitioner on or after January 1, 2018, include codes for the following: care episode groups patient condition groups patient relationship categories Previously, CMS decided to use procedure code modifiers to report patient relationship codes on Medicare ...

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New MIPS Reporting Option for 2017 Data

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On January 2, 2018, CMS announced a new data submission system for eligible clinicians to report quality measures for the Quality Payment Program. Data may be submitted through the new platform on the qpp.cms.gov website. The announcement stated: Data can be submitted and updated any time from January 2, 2018 to March ...

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CMS Launches Data Submission System for Clinicians in the Quality Payment Program

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Today, the Centers for Medicare & Medicaid Services (CMS) announced that doctors and other eligible clinicians participating in the Quality Payment Program can begin submitting their 2017 performance data using a new system on the Quality Payment Program website (qpp.cms.gov). The data submission system is an improvement from the former...

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Quality Payment Program in 2018

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I checked the government website to see if I am an eligible clinician and it says that I am not. I just don't want to get blindsided with a letter saying I will be penalized. Is there anything you would suggest or recommend that I do now to protect myself from future penalties. Thank you

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Quality Reporting Tips


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Quality Reporting Webinars

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Mighty MACRA!

Mighty MACRA!

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The Future of Reimbursement - Medicare's Quality Payment Program

The Future of Reimbursement - Medicare's Quality Payment Program

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Reimbursement Guides
2020 Edition

Find-A-Code's 2020 specialty specific Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it.

  • Medicare
  • Procedure & Supply codes
  • Documentation
  • Compliance
  • HCC information
  • ICD-10-CM codes


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