Archive | Medicare

2018 MIPS Data May Be Reported by Eligible Clinicians Until April 2nd

By Greg Griggs on January 24, 2019 in Medicare

CMS is reminding physicians that the data submission period for 2018 Merit-based Incentive Payment System (MIPS) data is now open. MIPS-eligible clinicians who participated in the second year of CMS’ Quality Payment Program (QPP) have until April 2 to report their 2018 MIPS data. Physicians and other clinicians who aren’t certain if they are eligible […]

Pathways to Success Aims to Set New Direction for the Medicare Shared Savings Program

By Greg Griggs on September 10, 2018 in Medicare, National

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule earlier this month that sets a new direction for the Medicare Shared Savings Program (MSSP). Referred to as “Pathways to Success,” the proposal would redesign the participation options to encourage Accountable Care Organizations (ACOs) to transition to two-sided models where they will share […]

CMS Releases Proposed Updates to 2019 Physician Fee Schedule and Quality Payment Program

By Greg Griggs on August 21, 2018 in Medicare

In July, CMS released its proposed revisions to the 2019 Medicare Part B Physician Fee Schedule. as well as the 2019 MACRA Quality Payment Program. The revisions propose several substantive changes to the structure and payment of key primary care E&M codes, important refinements to medical documentation rules, and adjustments to the 2019 Quality Payment […]

New Medicare Cards Will Begin Rolling Out This April

By Greg Griggs on February 22, 2018 in Medicare, Patient Care

A federally-mandated change to Medicare’s identification cards is scheduled to begin nationwide on April 1st. CMS will begin mailing new cards to all Medicare beneficiaries based on geographic location. For Medicare patients in North Carolina, new cards should begin arriving around June. CMS is replacing the current SSN-based Medicare ID Number (Heath Insurance Claim Number […]

If You Haven’t Yet ‘Picked Your Pace’ with MACRA, Act Now to Avoid a 4% Penalty

By Greg Griggs on December 14, 2017 in Medicare

The AAFP wants family physicians to know it’s not too late to collect 2017 data and participate in MACRA’s Merit-based Incentive Payment Program (MIPS). In fact, submitting just one quality measure — one time — by Dec. 31 means a physician will avoid facing a 4 percent negative payment adjustment to Medicare Part B claims […]

MACRA Reminder: Family Physicians Must ‘Pick Your Pace’ by End-of-Year

By Greg Griggs on November 21, 2017 in Medicare

By the end of 2017, family physicians interested in participating within the Merit-based Incentive Payment System (MIPS) of MACRA must take action to avoid payment penalties under Medicare Part B. It’s not too late to collect data—submitting as little as one quality measure or one Improvement Activity will allow you to avoid a negative 4% payment adjustment […]

It’s Not Too Late to Participate in MACRA’s Quality Payment Program

By Greg Griggs on September 1, 2017 in Medicare

Medicare’s new Quality Payment Program’s first performance year is already underway and runs until December 31, 2017. For physicians and practices still weighing their options, it’s not too late to participate so you can potentially earn a positive adjustment as well as avoid any negative change. Physicians and practices can choose to participate in MIPS in one […]

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