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Friday Aug 09, 2019

Anthem plans to shorten timely filing limit for claims

Anthem is notifying practices that they may have less time to timely file patient claims.


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Posted at 10:00AM Aug 09, 2019 by Kent Moore | Comments [0]

Friday Jul 05, 2019

MIPS feedback reports for 2018 now available

The Centers for Medicare & Medicaid Services has released reports showing how physicians fared during the 2018 Quality Payment Program performance year.


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Posted at 01:00PM Jul 05, 2019 by Erin Solis | Comments [0]

Thursday Jun 13, 2019

Got an idea to reduce physician burden? CMS wants to hear it

The Centers for Medicare & Medicaid Services has opened a request for information, looking for ways to reduce paperwork and allow physicians to spend more time on patient care.


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Posted at 01:00PM Jun 13, 2019 by Kent Moore | Comments [0]

Thursday Jun 06, 2019

Medicare changing rules for modifiers to override claims edits

Medicare and some private payers are set to make it easier to use modifiers to override claims edits.


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Posted at 01:00PM Jun 06, 2019 by Kent Moore | Comments [0]

Friday May 10, 2019

CMS clarifies documentation for teaching physicians' E/M services

Physicians who bill for E/M services while teaching medical students may face some changes under newly clarified federal guidelines.


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

Sunday May 05, 2019

States to lose ability to divert Medicaid payments

The Centers for Medicare & Medicaid Services is eliminating a 2014 rule that allowed states to divert Medicaid payments to third parties.


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Posted at 01:30AM May 05, 2019 by Kent Moore | Comments [0]

Friday Apr 26, 2019

CMS Primary Care Initiative provides new payment models

The Primary Care Initiative announced by CMS will give family physicians new payment streams aimed at increasing value-based care.


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Posted at 11:45AM Apr 26, 2019 by Kent Moore | Comments [0]

Tuesday Mar 26, 2019

Few receive negative payment adjustment in first year of MIPS

The vast majority of clinicians who were eligible for and participated in the Merit-based Incentive Payment System in 2017 will avoid a negative payment adjustment to their Medicare claims during the 2019 payment year.


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Posted at 05:30PM Mar 26, 2019 by Kent Moore | Comments [0]

Friday Mar 08, 2019

Less than a month left to submit 2018 MIPS data

Physicians eligible for the Merit-based Incentive Payment System in 2018 have only a few more weeks to report your quality measures.


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Posted at 04:00PM Mar 08, 2019 by Kent Moore | Comments [0]

Friday Mar 01, 2019

CMS finds errors in MIPS payment adjustments

The Centers for Medicare & Medicaid Services says it is working to fix errors in how this year's MIPS payment adjustments were applied to some physicians.


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Posted at 12:45PM Mar 01, 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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