Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid


CMS Finds Errors in 2019 MIPS Payment Adjustment Calculations

September 26, 2018 - CMS recently announced that it is extending the targeted review deadline for 2017 Merit-Based Incentive Payment System (MIPS) performance feedback after the federal agency identified three errors with the scoring logic for the 2019 payment adjustment calculations. Eligible clinicians now have until Oct. 15, 2018, at 8:00 pm EDT to request a targeted review of their MIPS performance...

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Developing a 2018 MIPS Reporting Strategy to Avoid a Penalty

by Jacqueline LaPointe

Eligible clinicians can avoid a financial penalty under the Merit-Based Incentive Payment System (MIPS) in 2020 by focusing their reporting on one of three performance categories: Quality, Improvement Activities, or Promoting...

AAFP: Drop MIPS APM Pathway to Simplify MACRA Implementation

by Jacqueline LaPointe

The American Academy of Family Physicians (AAFP) recently urged CMS to simplify MACRA implementation to support primary care provider participation in the Quality Payment Program. The industry group called for several Quality Payment...

CMS Delays Rollout of Cardiac, Ortho Bundled Payment Programs

by Jennifer Bresnick

CMS is pushing back the start date for a number of its bundled payment programs in an effort to provide additional time to review and prepare for the initiatives. In a notice posted in the Federal Register, CMS has issued three-month...

Top 5 Facts About the Merit-Based Incentive Payment System

by Jacqueline LaPointe

In October, CMS released the final MACRA implementation rule that will put the Quality Payment Program into action on Jan. 1, 2017. Under the new value-based reimbursement program, the federal agency anticipates 592,000 to 642,000 Medicare...


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