Practices gain a second chance to review 2017 QPP results -- FPM
The Centers for Medicare and Medicaid Services is giving practices additional time to review 2017 Quality Payment Program performance data before making it available for public view.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2017_performance_data_review.html
Time to check your 2019 MIPS eligibility status -- FPM
If you are unclear whether the Merit-based Incentive Payment System applies to you in 2019, use this tool to check your eligibility.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_MIPS_eligibility.html
Save time, start preparing for 2018 MIPS reporting -- FPM
The 2018 Merit-based Incentive Payment System (MIPS) reporting period is approaching fast. Here's how to be ready to submit your information when it comes.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2018_MIPS_reporting.html
Family physician pay goes up, satisfaction with pay goes down -- FPM
An annual survey of physician compensation shows a healthy gain for physicians. How do you compare?
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_compensation.html
Time to choose your Medicare status for 2020 -- FPM
Physicians have until Dec. 31 to decide how they plan to participate in Medicare in 2020.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_Medicare_status.html
Will Medicare give you a pay bump next year? Check your MIPS score -- FPM
Physicians and practices can now access their 2019 Merit-based Incentive Payment System feedback and final score through the Quality Payment Program website.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_mips_scores.html
Important MIPS deadlines approaching -- FPM
Here are some important dates and deadlines to keep in mind as you wrap up the Merit-based Incentive Payment System (MIPS) 2020 performance year.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_mips_deadlines.html
Final rule on the 2019 Medicare Physician Fee Schedule delays major changes to E/M ...
The Centers for Medicare and Medicaid Services finalized its much anticipated Final Rule for the 2019 Physician Fee Schedule, which includes simplifications to E/M coding and documentation but delays other major changes.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_physician_fee_schedule_final_rule.html
Medicare finalizes physician fee schedule and Quality Payment Program for 2020 -- FPM
Highlights from the 2020 Medicare physician fee schedule include new codes for chronic care management and principal care management.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_physician_fee_schedule.html
COVID-19: New ICD-10 codes for the new year -- FPM
The new codes will change prior CDC guidelines for reporting certain encounters.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2021_covid_codes.html
ICD-10 annual update: what family physicians need to know -- FPM
The ICD-10-CM diagnosis code annual update will take effect Oct. 1, which means it’s time to prepare your practice.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2021_diagnosis_codes.html
2019 qualifying APM participant data now available -- FPM
The Centers for Medicare and Medicaid Services has updated its online database to help physicians participating in alternative payment models to determine if they have to participate in the Merit-based Incentive Payment System this year.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_qualifying_APM_participant.html
2021 Medicare physician fee schedule has good news for family medicine -- FPM
The Centers for Medicare and Medicaid Services finalized simplified rules for billing and coding E/M visits and increased values for several codes.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2021_fee_schedule.html
CMS proposes simpler Medicare documentation guidelines in 2019 fee schedule -- FPM
The Centers for Medicare and Medicaid Services is looking to use its annual update of the Medicare physician fee schedule to address long-simmering complaints with how the program requires physicians and other clinicians to document evaluation and management visits.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_proposed_fee_schedule.html
The top Medicare changes to know for 2020 -- FPM
The annual Medicare update includes changes to documentation requirements, coding and payment.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_Medicare_update.html
What you need to know about MIPS eligibility for 2021 -- FPM
As you wrap up the Merit-based Incentive Payment System (MIPS) 2020 performance year, here are some important things to remember about MIPS eligibility for performance year 2021.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2021_mips_eligibility.html
Haven't received your AAPM bonus? There's still time to fix your billing info -- FPM
The Centers for Medicare and Medicaid Services has extended the deadline to Dec. 13. Check this public notice to find out if you need to verify your info.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/aapm_bonus_extension.html
Medicare releases proposed rule on 2020 physician fee schedule -- FPM
The Centers for Medicare and Medicaid Services has released its proposed physician fee schedule for 2020. Here are some of the highlights affecting family physicians.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_physician_payment_fee_schedule.html
CMS suspends advance payment program -- FPM
Early on in the COVID-19 public health emergency, CMS is expanded the program for all Medicare providers throughout the country. The agency now says that other funding is available to those on the front lines of the coronavirus response.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/advance_payments_halted.html
Anthem rescinds modifier 25 cuts -- FPM
Last week, Anthem, one of the nation's largest commercial health plans, notified the American Medical Association it has decided to not proceed with a policy to reduce payments by 25 percent for evaluation and management codes appropriately reported with CPT modifier 25.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/anthem_rescinds_modifier_25_cuts.html
Anthem plans to shorten timely filing limit for claims -- FPM
Anthem is notifying practices that they may have less time to timely file patient claims.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/anthem_timely_filing_window.html
An easier way to report data for QPP has arrived -- FPM
Physicians participating in the Quality Payment Program can now submit all of their MIPS data through a single platform. Here's how.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/an_easier_way_to_report_for_qpp.html
Incentive payments coming soon for APM qualifying participants -- FPM
For clinicians participating in an advanced alternative payment model, 2019 incentive payments from the Centers for Medicare and Medicaid Services could be headed your way soon.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/apm_incentive_payment.html
Are you getting paid for non-face-to-face prolonged care? -- FPM
CMS in January created a set of CPT codes that allows physicians, physician assistants, and nurse practitioners to bill for non-face-to-face prolonged care of patients.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/are_you_getting_paid_for_non-face-to-face_prolonged.html
CMS delays enforcement of Appropriate Use Criteria program -- FPM
The Centers for Medicare and Medicaid Services recently announced an extension of the education and testing period for its Appropriate Use Criteria program through calendar year 2021.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/auc_delayed.html
CMS testing diagnostic imaging referrals program in preparation for mandate -- FPM
The Appropriate Use Criteria program will require an extra step before ordering advanced imaging starting in 2021, unless it's repealed.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/AUC_test_phase.html
Wanted: Bank information to pay APM bonuses -- FPM
The federal government has posted a list of clinicians it owes bonus money. Here's how to find out if you're on it, and how to claim your cash if you are.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/APM_banking_info.html
Avoid mistakes when coding for preventive medicine services -- FPM
Selecting the appropriate code will hopefully facilitate payment for preventive services and reduce some unpleasant questions from patients.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/avoiding_mistakes_preventive_coding.html
How to know when to bill for both preventive and added services -- FPM
When a patient brings an additional complaint to a preventive visit, here's how to know whether it qualifies as a separate service and get paid for your work.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/billing_for_preventive_and_added_services.html
More is not always better for diagnosis coding -- FPM
Some physicians question whether they should report diagnoses beyond those addressed at a patient visit to ensure the best possible HCC score (and thus the best possible risk adjustment).
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/better_diagnosis_coding.html
Chronic care management coding updates for 2020 -- FPM
Chronic care management has been hampered by reimbursements that don't match costs and complex rules for care plans. Some relief is coming this year.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/ccm_changes_2020.html
Cigna to stop paying for consultation codes -- FPM
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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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/cigna_stops_paying_consultation_codes.html
Cigna institutes new reimbursement policy for virtual care -- FPM
Cigna, one of the country’s largest private health insurers, has implemented a new virtual care reimbursement policy as of Jan. 1. The policy builds on billing and coding flexibilities spurred by COVID-19.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/cigna_virtual_reimbursement.html
New resource for those with questions about new Medicare card -- FPM
New Medicare identification cards for beneficiaries are in the works. Here's what CMS is doing to prepare.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_appoint_Medicare_card_provider_ombudsman.html
CMS extends preview period for Physician Compare -- FPM
Technical problems have forced the Centers for Medicare and Medicaid Services to extend the deadline for physicians wanting to review the information about them and their practices that the agency plans to be release publicly through the Physician Compare website.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_extends_preview_period_for_Physician_Compare.html
CMS Primary Care Initiative provides new payment models -- FPM
The Primary Care Initiative announced by CMS will give family physicians new payment streams aimed at increasing value-based care.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_Primary_Care_Initiative.html
CMS releases final rule on 2019 Medicare physician fee schedule -- FPM
On Nov. 1, the Centers for Medicare and Medicaid Services released the final rule of the 2019 Medicare physician fee schedule. Here are the highlights.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_releases_final_rule_2019.html
New details as we get closer to CMS replacing current Medicare cards -- FPM
As I announced in June, the Centers for Medicare and 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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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_replacing_Medicare_cards.html
CMS updates MIPS final scores, extends review deadline -- FPM
The Centers for Medicaid and Medicare Services has released updated final scores for the 2017 Merit-based Incentive Payment System performance period.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_updates_MIPS_final_scores.html
Coding for wound care: Is your EHR leading you astray? -- FPM
Remember these tips for properly coding three common types of wounds.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coding_wound_care.html
How to properly code for a pre-op examination -- FPM
Family physicians are often asked to preform pre-surgical evaluations for patients undergoing procedures. This requires selecting the correct codes.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coding_preop_exams.html
Compensation is up for family physicians -- FPM
Family physicians saw their annual compensation increase an average of 5 percent over last year, reflecting an industrywide rise in physician pay.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Compensation_is_up_for_family_physicians.html
New reports look at family medicine office visit billing -- FPM
Here's what to do with that Medicare comparative billing report you may have received analyzing how you bill family medicine office visits.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/comparative_billing_reports.html
Coding for the new coronavirus and COVID-19 illness -- FPM
There is no specific diagnosis code in the U.S. yet for COVID-19. Here's what to use instead.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_diagnosis_coding.html
Coronavirus (COVID-19): new telehealth rules and procedure codes for testing -- FPM
CMS has loosened restrictions on telehealth reimbursement for areas where the spread of the new coronavirus has been deemed an emergency.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_testing_telehealth.html
Six things to know about the CARES Act provider relief fund payments -- FPM
The federal government recently started doling out an initial $30 billion in COVID-19 aid payments to Medicare fee-for-service providers. Here's what physicians should know about them.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/COVID19_relief_payments.html
What coding modifiers to use for Medicare telehealth services and COVID-19 testing -- FPM
Recent regulatory changes affect how you should code for telehealth services and COVID-19 testing when billing Medicare.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_modifier_coding.html
New codes for COVID-19 antibody tests -- FPM
Antibody tests could play a role in determining the true prevalence of the illness in a given area and determining who can return to normal activities as states gradually begin to lift lockdowns.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_antibody_coding.html
New CPT code for SARS-CoV-2 (COVID-19) antigen testing -- FPM
Antigen testing is designed to be quicker and simpler than other tests for the coronavirus and can be conducted at the point of care.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_antigen_testing.html
How to access small business loans for COVID-19 financial relief -- FPM
Some of the loans now available offer 1% interest or even full loan forgiveness if you keep your employees on the payroll.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_business_loans.html
COVID-19 vaccines coding guide -- FPM
The CPT Editorial Panel has approved unique codes for multiple COVID-19 vaccines, as well as administration codes for each dose of those vaccines.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_codes_guide.html
CMS and CDC release guidance on counseling patients tested for COVID-19 -- FPM
Counseling patients about the importance of isolating, in particular, can help reduce transmission of the illness.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_test_counseling.html
First COVID-19 vaccine CPT codes published -- FPM
The first COVID-19 vaccine and administration codes are for products produced by Pfizer and Moderna.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_vaccine_codes.html
CMS finally specifies which service codes are subject to COVID-19 cost-sharing waiver ...
After several months, the Centers for Medicare and Medicaid Services has finally released a list of specific procedure codes that are subject to rules waiving coinsurance and deductibles for COVID-19 testing.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_waiver_codes.html
CMS raises payment for COVID-19 vaccine administration -- FPM
The increase, which the American Academy of Family Physicians and other groups advocated for, reflects the additional resources and work required to safely store and administer the vaccines.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_vaccine_increase.html
Three steps to improve preventive service utilization during the COVID-19 pandemic -- FPM
Patients are deferring routine office visits for chronic disease management and preventive services out of concern for their safety during COVID-19. But these visits are important, especially for patients with conditions that require close monitoring, or those who are due for ...
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_preventive_services.html
When and how to count data under the revised E/M office guidelines -- FPM
When the new rules for evaluation and management office visits went into effect at the beginning of the year, they immediately caused confusion about how to count data to determine the level of medical decision making.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/data_counting_clarifications.html
CMS offers data reporting relief in response to COVID-19 -- FPM
The Centers for Medicare and Medicaid Services has extended the deadline to submit 2019 performance data for the Merit-based Incentive Payment System due to COVID-19.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/data_reporting_relief.html
Deadline to submit data for 2017 MIPS approaches -- FPM
If you have not already done so, you have until March 31 to provide 2017 data for the Merit-based Incentive Payment System (MIPS), which could affect your Medicare payments in 2019.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/deadline_to_submit_data_for_2017_MIPS_approaches.html
New resources to ease ordering and prescribing DME under Medicare -- FPM
The DME Medicare administrative contractors are trying to help physicians and recently created some online resources to ease the ordering or prescribing of durable medical equipment for Medicare patients.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/DME_ordering_resources.html
CMS opens Direct Contracting alternative payment program applications -- FPM
The Center for Medicare and Medicaid Innovation has opened applications for its Direct Contracting program.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/direct_contracting_portal.html
How to avoid payment denials on two common diagnostic tests -- FPM
The Centers for Medicare and Medicaid Services is advising physician practices on how to avoid billing errors for two common diagnostic tests.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/diagnostic_test_denials.html
Time to educate your patients about new Medicare cards -- FPM
CMS has published free resources to help notify your patients that the new Medicare beneficiary cards are coming.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/educating_your_patients_about_new_Medicare_cards.html
Learn more about electronic attachments for claims -- FPM
Electronic attachments can simplify and optimize revenue cycle management by reducing payment time cycles.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/electronic_attachments_webinar.html
Clarifications issued for new E/M office visit rules -- FPM
The revisions include more guidance about what counts toward the data portion of medical decision making.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/emcoding_clarifications.html
Responses to common concerns about the new E/M guidelines -- FPM
As family physicians adjust to the new CPT guidelines for office/outpatient evaluation and management services, some common themes are beginning to emerge.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/emcoding_concerns.html
Evaluation and management (E/M) coding and documentation burden could lighten in 2019 ...
The Centers for Medicare and Medicaid Services' proposed rule for the Physician Fee Schedule for 2019 contains significant revisions to the coding, documentation, and payment of office visit evaluation and management services.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/em_coding_proposed_changes.html
How the E/M code RVU increases could affect family physicians’ pay -- FPM
The relative value units (RVUs) for several key E/M codes increased on Jan. 1. Here’s how this could affect your payment rates.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/em_rvus.html
Earn MIPS credit for participating in CMS study -- FPM
The Centers for Medicare and Medicaid Services is looking for physicians to participate in a study measuring the burdens of collecting and reporting care quality data. Participants can receive credit under the Merit-based Incentive Payment System.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/earn_MIPS_credit_for_participating_in_CMS_study.html
CMS releases software fix for issue that could affect eCQM scores -- FPM
The Centers for Medicare and Medicaid Services has released updated database files to correct an issue that could impact scores for some eligible clinician electronic clinical quality measures (eCQM) for the 2020 performance period.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/eCQM_fix.html
Are you ready to provide FAA BasicMed exams to pilots? -- FPM
As of May 1, pilots of small private planes can receive medical clearance to fly through their personal physician, rather than undergoing the full FAA-sanctioned physician exam.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/faa_basicmed_exam.html
How to find a patient's new Medicare number -- FPM
Starting next month, you’ll be able to look up your Medicare patients’ new Medicare number through the secure web portal of your Medicare Administrative Contractor.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/finding_a_new_Medicare_number.html
Flu resources and payment allowances: Medicare releases updates for the 2019-2020 ...
Updated influenza vaccine payment allowances went into effect August 1.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/flu_season_updates.html
Medicare unveils influenza vaccine payment allowances for 2020-2021 flu season -- FPM
The allowances range from about $10 to about $60.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/flu_shot_allowances.html
CMS waives telehealth restrictions for FQHC and RHC physicians -- FPM
Under the new guidelines, there are no restrictions on where telehealth service is provided, meaning physicians or practitioners may provide the service from their homes.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/FQHC_covid_telehealth.html
The new Medicare G code: Everything you need to know to take advantage of it -- FPM
On Dec. 21, Congress delayed implementation of the primary care add-on code, G2211, for three years as part of the 2020 Year End Funding Bill and COVID-19 Emergency Funding, and it applied the savings to increase Medicare base payments for all services and specialties by an additional ...
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/g2211_summary.html
Medicare webinar on glucose supplies scheduled for Feb. 11 -- FPM
The webinar will include guidelines for coverage along with the information patients and suppliers need from physicians.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/glucose_supplies_webinar.html
MIPS tops list of most burdensome regulations for group practices -- FPM
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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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/group_practices_question_MIPS.html
New Medicare home health payment feature has implications for physician orders -- FPM
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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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/home_health_coding.html
CMS reiterates physicians’ central role in home health planning -- FPM
The agency's guidance comes as it implements a new home health payment system called the Patient-Driven Groupings Model.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/home_health_guidance.html
How to decide whether your patient is new or established -- FPM
If coding rules followed common sense, this would be easy. You would just have to ask: Have I seen the patient before? Unfortunately, that straightforward approach does not work.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/How_to_decide_if_a_patient_is_new_or_established.html
Medicare payment for some physician services may be impacted by prior authorization -- FPM
Certain hospital outpatient department services will require prior authorization as a condition of Medicare payment beginning July 1.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/hospital_prior_auth.html
Ring in the New Year by submitting your 2018 MIPS data -- FPM
CMS has officially opened the data submission period for MIPS eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/How_to_submit_2018_MIPS_data.html
Use of hurricane-related ICD-10 codes is changing -- FPM
The external cause codes for hurricane-related encounters have existed since ICD-10 was adopted. The important change, beginning Oct. 1, is that the National Center for Health Statistics provided clear definition on how to apply the codes correctly.
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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/hurricane_codes.html
In a small group? Combine with others now to participate in MIPS -- FPM
The Centers for Medicare and 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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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/in_a_small_group_combine_with_others_now_for_MIPS.html
A new way to earn MIPS credit in 2019 -- FPM
A new study of how physicians collect and report quality measures to Medicare is looking for participants. Successful members will get MIPS credit.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Improvement_activity_credit.html
Is your advanced alternative payment model recognized by CMS? -- FPM
The Centers for Medicare and Medicaid Services this month published a table displaying the APMs that it operates.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/is_your_advanced_APM_recognized_by_CMS.html
CMS finds errors in MIPS payment adjustments -- FPM
The Centers for Medicare and Medicaid Services says it is working to fix errors in how this year's MIPS payment adjustments were applied to some physicians.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/incorrect_MIPS_payment.html
Three common reasons for level 5 E/M office visits in primary care -- FPM
To quickly identify and correctly code most level 5 office visits, keep in mind these three common reasons for level 5 work
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/level5_visits.html
Proper diagnosis coding for malignant neoplasms -- FPM
When selecting diagnosis codes for suspected, current, and personal history of malignant neoplasms, you need to follow specific rules for ICD-10.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/malignant_neoplasms.html
What to do when an MBI changes -- FPM
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?
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/MBI_changes.html
New demonstration project can exempt physicians from MIPS -- FPM
Looking to avoid the reporting requirements and payment adjustments imposed by the Merit-based Incentive Payment System? A new demonstration project now taking applications may be your opportunity.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/MAQI_demonstration.html
HHS extends application deadline for Medicaid/CHIP Provider Relief Fund -- FPM
The U.S. Department of Health and Human Services has extended the Medicaid/CHIP Provider Relief Fund distribution provider application deadline.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicaid_relief_extension.html
COVID-19 spurs CMS to delay mandatory use of new noncoverage form -- FPM
The Centers for Medicare and Medicaid Services announced last week it will delay a rule requiring physicians to use a new version of its Advance Beneficiary Notice of Noncoverage form.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_abn_delayed.html
Medicare to require new Advance Beneficiary Notice of Noncoverage form -- FPM
When you expect Medicare to deny payment, an Advance Beneficiary Notice of Noncoverage form is useful. A new version of the form will soon be required.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_abn_renewed.html
A rule to remember when administering COVID-19 vaccines to Medicare Advantage patients ...
When you file a COVID-19 vaccine administration claim for a Medicare Advantage patient, you have to know the patient's traditional Medicare ID number.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_advantage_covid.html
CMS: Patients can self-report vitals for Medicare AWV telehealth visits -- FPM
The Centers for Medicare and Medicaid Services (CMS) recently clarified that during the COVID-19 public health emergency (PHE) patients may self-report vital signs and other biometric data for Medicare Annual Wellness Visits (AWV) done via telehealth.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_awv_vitals.html
Medicare rolls out new cards to another group of states -- FPM
The Centers for Medicare and Medicaid Services has started mailing new Medicare cards to beneficiaries who live in Wave 5 states: Alabama, Florida, Georgia, North Carolina, and South Carolina.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Medicare_cards_wave_5.html
How to avoid Medicare annual wellness visit denials -- FPM
Identifying whether to code for an Initial Preventive Physical Exam (aka the Welcome to Medicare visit), an Initial Medicare Annual Wellness Visit (AWV) or a Subsequent Medicare AWV can be tricky.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_awv_coding.html
States to lose ability to divert Medicaid payments -- FPM
The Centers for Medicare and Medicaid Services is eliminating a 2014 rule that allowed states to divert Medicaid payments to third parties.
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Medicaid_final_rule.html