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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]

Monday Sep 30, 2019

Incentive payments coming soon for APM qualifying participants

For clinicians participating in an advanced alternative payment model, 2019 incentive payments from the Centers for Medicare & Medicaid Services could be headed your way soon.


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Posted at 02:45PM Sep 30, 2019 by Erin Solis | Comments [0]

Friday Sep 27, 2019

Medicare instructs contractors to cease local pneumococcal vaccination frequency edits

Have you had inappropriately denied claims for pneumococcal vaccination? Here's what to do.


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Posted at 04:45PM Sep 27, 2019 by Kent Moore | Comments [0]

Tuesday Sep 24, 2019

Flu resources and payment allowances: Medicare releases updates for the 2019-2020 season

Updated influenza vaccine payment allowances went into effect August 1.


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Posted at 10:00AM Sep 24, 2019 by Kent Moore | Comments [0]

Tuesday Sep 10, 2019

Is your MIPS score/Medicare payment adjustment incorrect? Time is running out to request a review

Physicians must submit a targeted review request by Sept. 30, 2019, if they feel their 2018 MIPS final score/2020 MIPS payment adjustments are incorrect.


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Posted at 01:00PM Sep 10, 2019 by Erin Solis | Comments [0]

Tuesday Aug 27, 2019

Cigna to stop paying for consultation codes

Cigna is set to stop paying CPT codes for consultations provided to their customers. Here's how to avoid losing that revenue.


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Posted at 04:30PM Aug 27, 2019 by Kent Moore | Comments [0]

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]

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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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