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06/26/2017
Your chance to report a single merit-based incentive payment system (MIPS) measure and be done with the program is over. In the Quality Payment Program (QPP) proposed rule released June 20, CMS bumps the minimum score from three points — which current reporters can earn by reporting a single measure — to 15 points.
06/26/2017
Fine tune your billing for HIV screening, such as adopting newly covered HCPCS codes and attaching the correct diagnosis code, to avoid seeing one of several common claim adjustment reason codes (CARCs) after you send in a claim.
06/26/2017
The latest price limit revisions in drug average sales prices (ASP) changes from CMS show a slight uptick from Q2 to Q3 2017, but a one- and a three-year lookback show that trend over the past few years has been toward rising prices.
06/26/2017
CMS is eliminating automated review for recovery auditors (RACs) and revising the definitions for the various types of pre- and post-payment reviews that various contractors can perform. The revisions to the Program Integrity Manual were released in CMS 100-08, Change Request 9809, and will go into effect July 11.
06/26/2017
Question: My practice is seeing more and more cases of drug screening over the past several months. How can I stay compliant with these screens? Is there a national policy related to correct coding?
06/26/2017
You can give yourself a pat on the back for your drug-code billing — many of the most-reported drug codes showed low denial rates over calendar years 2014 and 2015.

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