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CMS released a report about 2020 payment adjustments for participants in MIPS 2018, which reflect a high number of successful clinicians because of the lower performance threshold.

Coming back to today's topic, the COVID-19 Public Health Emergency (PHE) does not relax the overall requirements for Skilled Nursing Facility (SNF) Consolidated Billing (CB); however, CMS releases a set of CPT telehealth codes for coverable time segments as long as the crisis lasts.

Trump administration has decided to reopen nursing homes as part of "open America again". There are strict SOPs that CMS has issued to protect lives and restrict the virus while going back to normal.

CMS issues a guideline for local and state authorities to ensure the phase-wise reopening of nursing homes, taking into consideration certain factors concerning the safety and protection of residents, staff, and visitors.

MIPS eligible clinicians! Do you know if you report MIPS 2021 as per the proper guidelines, you can earn up to 5% incentives and even qualify for a bonus pool worth $500 million?

Expanding Medicare Telehealth Use after PHE CMS issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule, and other Medicare Part B issues, effective on or after January 1, 2023. Contact us at info@medicalbillersandcoders.com / 888-357-3226 Read More: https://bit.ly/3IDMop4 #PHE #CMS #medicaretelehealth #medicarepayments #physicianfeeschedule #medicarepartb #PFS #COVID19 #centersformedicareandmedicaidservices

As the implementation of transparency in coverage rule started from 1st July 2022, we shared crucial information on final rule for your information, still you can refer CMS article for detailed understanding.

Prior authorizations require a provider to get approval from a payer for a service, prescription, or medical supply.

Improper payment rates are not measures of fraud in CMS programs. Most improper payments are caused by improper or inadequate documentation.

CMS expands coverage of lung cancer screening with low dose computed ... (LDCT) to improve health outcomes for people with lung cancer.

Fitness freaks now can get a monthly membership of gyms in the form of a pass which enables them to workout when they want, where they want and how they want.

The administrative burden on physicians and medical billing services has been a constant worry. CMS administrator and American health policy consultant Seema Verma considerably acknowledges this concern and has asked insurance companies to modify their policies to rectify problematic areas.

It is about accuracy of data for each performance category that matters the most in MIPS. As a MIPS Qualified Registry for the fourth time in a row is a living proof of our past performances and current status. In this article, we got a chance to reflect on a few MIPS data essentials; and thought they would be useful for clinicians before the submission window closes for good.

Before we go into the details, the Merit-based Incentive Payment System (MIPS) comes under the direct obligation of the Medicare Access and CHIP Reauthorization Act (MACRA), the law that regulates the incentive program across the US.

P3 Healthcare Solutions is been offering professional medical billing services for quite some time now. The process starts from the consultation session where providers are informed about every detail from coding, billing to the latest strategies for smoothly running the revenue cycle. We aim to empower physicians with transparent and accurate billing practices.