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Wednesday Dec 11, 2019

Check your final 2019 MIPS eligibility status

The QPP Participation Status Tool tells physicians if they are required to report to the Merit-based Incentive Payment System (MIPS) for the 2019 performance year.


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Posted at 01:15PM Dec 11, 2019 by Erin Solis | Comments [0]

Wednesday Dec 04, 2019

New Medicare home health payment feature has implications for physician orders

Home health changes coming to Medicare in 2020 won't affect physician payments, but could change how much information home health providers request in physician orders.


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Posted at 03:00PM Dec 04, 2019 by Kent Moore | Comments [0]

Monday Nov 25, 2019

Time to choose your Medicare status for 2020

Physicians have until Dec. 31 to decide how they plan to participate in Medicare in 2020.


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Posted at 10:00AM Nov 25, 2019 by Kent Moore | Comments [0]

Monday Nov 18, 2019

What to do when an MBI changes

It's time to start using Medicare Beneficiary Identifiers, if you aren't already. But how will you know if a patient's MBI changes?


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Posted at 02:00PM Nov 18, 2019 by Kent Moore | Comments [0]

Wednesday Nov 13, 2019

HHS taking applications for Primary Care First alternative payment model

The bundled services model will offer performance bonuses of up to 50%, with downside risk of just -10%.


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Posted at 11:00AM Nov 13, 2019 by Kate Freeman | Comments [0]

Monday Nov 11, 2019

Time is running out to transition to new Medicare numbers

Soon physicians will no longer be able to use Medicare Health Insurance Claim Numbers and will have to switch to Medicare Beneficiary Identifiers.


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Posted at 11:00AM Nov 11, 2019 by Kent Moore | Comments [0]

Wednesday Nov 06, 2019

Medicare finalizes physician fee schedule and Quality Payment Program for 2020

Highlights from the 2020 Medicare physician fee schedule include new codes for chronic care management and principal care management.


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Posted at 02:00PM Nov 06, 2019 by Kent Moore | Comments [0]

Monday Oct 28, 2019

Medicare resolves beneficiary entitlement date errors

CMS has fixed an issue with beneficiary entitlement date errors that caused improper claim denials and is reprocessing affected claims.


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Posted at 10:45AM Oct 28, 2019 by Kent Moore | Comments [0]

Friday Oct 25, 2019

ICD-10-CM vaping coding guidance

The CDC has issued supplemental ICD-10 guidance to help physicians submit claims for services provided to patients with vaping-related lung injuries.


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Posted at 10:45AM Oct 25, 2019 by Kent Moore | Comments [0]

Friday Oct 11, 2019

More Medicare claims problems

An issue with the Medicare eligibility contractor is causing claims to be incorrectly denied based on invalid beneficiary entitlement.


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Posted at 11:30AM Oct 11, 2019 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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