Regulatory Compliance Archives - DoctorsManagement Regulatory Compliance Archives - DoctorsManagement

CMS proposes a leaner MIPS for in 2019

By | 2018, Coding and Auditing, Regulatory Compliance
CMS proposes a leaner MIPS for in 2019 Next year, CMS wants the Merit-based Incentive Payment System (MIPS) to be more streamlined, with fewer measures to report, expanded eligibility for non-physician providers to participate, and various tweaks to the four MIPS performance categories. The provisions appear in the Quality Payment Program (QPP) proposed rule, which...
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How to access your 2017 MIPS feedback report

By | 2018, Coding and Auditing, Regulatory Compliance
How to access your 2017 MIPS feedback report Your providers’ report cards for the 2017 reporting year of Medicare’s Merit-based Incentive Payment System (MIPS) are finally out, released by CMS via their Quality Payment Program website. So long as an eligible provider (MD, DO, nurse practitioners and physician assistants) submitted any MIPS data during 2017,...
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CMS proposal simplifies E/M coding but complicates payments

By | 2018, Coding and Auditing, Regulatory Compliance
CMS proposal simplifies E/M coding but complicates payments Grant Huang, CPC, CPMA Director of Content CMS wants to simplify outpatient E/M coding by letting providers choose an office visit code level based on the most important component, medical decision making (MDM), or face time spent with the patient – without the existing requirement that the...
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Fostering a culture of compliance in 2018 and beyond

By | 2018, Regulatory Compliance
Fostering a culture of compliance in 2018 and beyond Sean Weiss, CPC, CPC-P, CPMA, CCP-P, CMCO, ACS-EM Partner, VP and Chief Compliance Officer This year (2018) healthcare organizations must focus on creating a culture of compliance to ensure effectiveness and efficiency. Focusing only on “compliance” leaves practices and hospitals exposed to areas of liability, often far...
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Anthem Fully Rescinds Modifier 25 Cuts

By | 2018, Regulatory Compliance
Anthem Fully Rescinds Modifier 25 Cuts Physician practices and hospitals participating with Anthem Blue Cross Blue Shield (BCBS) will no longer see any payment reduction on E/M services they bill with modifier 25 attached, a top Anthem official confirms in a letter to the AMA. The insurer had been set to implement a 25% payment...
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