Q/A: Is G8730 Still Required? Are G Codes Required at all?
G8730, when is it required. Many G codes are still active and are required for non-quality reporting.
Are you Ready for CMS’ 2019 Medicare Physician Fee Schedule Final Rule?
The waiting is over, the Final Rule for CMS’ 2019 Medicare Physician Fee Schedule (MPFS) is available – all 2,379 pages for those looking for a little light reading. As anticipated, there are some pretty significant changes. Most of us were carefully watching the proposed changes to the Evaluation and …
Small Practices are Affected by MIPS Increased Thresholds
We recently heard about a small practice that had been faithfully submitting all the required “G” codes for the Quality Payment Program (QPP) only to discover that for 2018 they are excluded from MIPS because the low volume threshold increased from $30,000 in Part B allowed charges or 100 Part …
Patient Relationship Codes
Section 1848(r)(4) of MACRA requires that claims submitted for items and services furnished by a physician or applicable practitioner on or after January 1, 2018, include codes for the following:
care episode groups
patient condition groups
patient relationship categories
Previously, CMS decided to use procedure code modifiers to report patient relationship codes on Medicare …
New MIPS Reporting Option for 2017 Data
If you were eligible clinician in 2017, this new reporting method could help you.
Quality Payment Program in 2018
I checked the government website to see if I am an eligible clinician and it says that I am not. I just don’t want to get blindsided with a letter saying I will be penalized. Is there anything you would suggest or recommend that I do now to protect myself from future penalties. Thank you
Why You Should Stop Using ROM as an Outcome Measure
We received this email from a chiropractic colleague: “I recently attended a
continuing education seminar accredited by a chiropractic college. The presenter
was talking about outcome measures and highly recommended cervical and
lumbar range of motion (ROM) as a good outcome measure for patients with
spinal conditions. But I am hesitant to use ROM, because it seems to be
inconsistent with a patient’s status.”
What does the current research demonstrate?
New Payment Rulings Could Affect You
Fall has always been the season for CMS fee changes and on November 2, 2017, CMS announced the finalization of four rules which directly impact the following payment systems:
Physician Fee Schedule Final Policy, Payment, and Quality Provisions for CY 2018
Hospital OPPS and ASC Payment System and Quality Reporting Programs Changes …
Does Every Visit Need to Document Quality and Quantity of Pain & Update the Treatment Plan?
Does every single visit need to document quality and quantity of pain and an update to the treatment plan?
Don’t do the MIPS Minimum
Doing the MIPS Minimum – Penny Wise but Pound Foolish?
Are you planning to “do the MIPS minimum” – the “Test” reporting option – in 2017 and submit the minimum amount of data possible to avoid the penalty? Perhaps every silver lining does not have a cloud, but “Pick Your Pace” sure does. Just as we cheered when the SGR was buried, only to see MIPS emerge from the grave, perhaps the “Pick Your Pace” regulations should undergo more scrutiny before we throw our hats into the air at this regulatory “reprieve.”
