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Friday Oct 13, 2017

In a small group? Combine with others now to participate in MIPS

The Centers for Medicare & Medicaid Services says physicians in solo or small group practices have until Dec. 1 to formally notify Medicare that they are participating in a virtual group. These groups make it easier for small practices to participate fully in MIPS.


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Posted at 12:30PM Oct 13, 2017 by Kent Moore | Comments[0]

Monday Oct 02, 2017

Medicare payments for lab tests to change in 2018

Does your office perform lab tests for Medicare beneficiaries? The amount of Medicare reimbursement your office receives for those tests is likely changing, and not positively.


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Posted at 05:30PM Oct 02, 2017 by Kent Moore | Comments[0]

Friday Sep 29, 2017

Oct. 2 represents key 2017 MIPS deadline for some physicians

If you or your practice plans to participate fully or partially in the Merit-based Incentive Payment System in 2017, and you plan to report 90 consecutive days of data for the year, then Monday, Oct. 2, is the last day you can begin.


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Posted at 01:30PM Sep 29, 2017 by Kent Moore | Comments[0]

Wednesday Sep 20, 2017

What’s your Medicare quality report score? Find out here.

Individual physicians and groups can now access the latest results of their annual Physician Feedback report and Quality and Resource Use Report. They provide information on the 2016 Physician Quality Reporting System and the 2016 Value-based Payment Modifier as well as if the physician or group will receive a 2018 payment adjustment under either program.


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Posted at 12:30PM Sep 20, 2017 by Erin Solis | Comments[0]

Monday Sep 18, 2017

New details as we get closer to CMS replacing current Medicare cards

As I announced in June, the Centers for Medicare & Medicaid Services plans to issue new Medicare identification cards that no longer carry Social Security numbers as a way to prevent fraud and fight identity theft. Last week, CMS unveiled the new cards.


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Posted at 02:45PM Sep 18, 2017 by Kent Moore | Comments[0]

Tuesday Sep 05, 2017

Ask beneficiaries to designate you their primary clinician online

If you treat Medicare patients, you and your patients likely value the relationships you’ve formed. As Medicare continues to change how it reimburses physicians for beneficiary care, it would be helpful if the program knew about and honored those relationships, right?


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Posted at 11:45AM Sep 05, 2017 by Kent Moore | Comments[0]

Friday Aug 18, 2017

Medicare claim review to become more targeted

The Centers for Medicare & Medicaid Services says it is expanding its medical review strategy, called “Targeted Probe and Educate" later this year. This actually appears to offer some advantages to physicians.


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Posted at 04:14PM Aug 18, 2017 by Kent Moore | Comments[0]

Thursday Aug 10, 2017

MIPS tops list of most burdensome regulations for group practices

physician_MIPS_burden

A new survey of group medical practices shows that while many physicians expect they will be able to meet at least the minimum requirements of the Merit-based Incentive Payment System (MIPS) this year, most see it as a huge burden that affects their ability to care for patients.


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Posted at 04:14PM Aug 10, 2017 by David Twiddy | Comments[0]

Friday Jul 14, 2017

CMS releases physician payment proposals for 2018

The Centers for Medicare & Medicaid Services' proposed rules on the 2018 Medicare physician fee schedule would increase overall rates in 2018 by 0.31 percent.


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Posted at 01:36PM Jul 14, 2017 by Kent Moore | Comments[0]

Monday Jul 03, 2017

CMS expands prior authorization for DME

Prior authorization is the bane of many family physicians’ existence. Despite their pleas for relief, the Centers for Medicare & Medicaid Services (CMS) has announced its intent to expand prior authorization for two pieces of durable medical equipment (DME).


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Posted at 12:24PM Jul 03, 2017 by Kent Moore | Comments[0]

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The views expressed here do not necessarily reflect the opinions of FPM or the AAFP. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.

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