Under the new Merit-based Incentive Payment System (MIPS), separate payment adjustments under the Physician Quality Reporting System (PQRS), Value-Based Payment Modifier (VM), and the Medicare EHR Incentive Program will sunset December 31, 2018. MIPS payment adjustments will begin January 1, Please visit our MACRA /...

The Physician Quality Reporting System (PQRS) is a Centers for Medicare and Medicaid Services (CMS) reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals (EPs). Any provider who sees Medicare Part B patients...

As a Medicare provider, you may be subject to federal penalties if you don’t send and report a certain number of e-prescriptions or qualify for an exclusion. You need to send 10 G-codes by June 30 in order to avoid a 2% Medicare deduction in...

If you are a Medicare Part B provider, now is the time to pay close attention to the quality programs administered by the Centers for Medicare and Medicaid Services (CMS) in order to avoid penalties (claim adjustments) in the near future. Beginning this year, Medicare...

“Pay for Performance” is not a new catch phrase in the healthcare community, but it is one that has seen a recent spike in interest from the general public and healthcare world alike. The renewed interest is due to the Affordable Care Act (ACA) and...