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05/09/2016
Question: May the doctors and physician assistants at our practice use more than one method to report quality measures – for the physician quality reporting system (PQRS) – to CMS?
05/09/2016

You could see greater cohesion among Medicare’s quality-reporting programs next year, as well as a single, combined formula tied to positive or negative payment adjustments – but pay attention to notable changes, such as fewer reporting measures and a new group reporting option for electronic health record (EHR) attestation, to get a reporting plan in place and stay in the black on incentive payments.

05/09/2016
Click on the "download file" link to see the merit-based incentive payment system (MIPS) proposed rule.
05/09/2016

Some specialists are getting a real break on quality reporting under CMS’ newly proposed quality reporting rule released April 27.

05/09/2016

Some clinicians may think that because they are participants in a bundled services model they will be automatically exempted from merit-based incentive payment system (MIPS) requirements. However, for most clinicians, that will not be the case, CMS states in the proposed MIPS rule released April 27.

05/09/2016

Check out this round-up of important pieces of the merit-based incentive payment system (MIPS) proposed rule released April 27.

05/09/2016

Involved in a bundled payment program? See if it qualifies as an APM.

05/09/2016

The new proposed rule on merit-based incentive payment system (MIPS) reporting suggests that the old physician quality reporting system (PQRS) loophole of reporting “action not performed” with modifier 8P will no longer fly — even though data shows many providers have gotten used to it.

05/02/2016
Question: A patient is seen in a hospital emergency room for an orthopedic issue (E/M code 99284). In the ER, an orthopedic surgeon is called in to evaluate and he decides to operate – yet the patient hasn't been admitted as an inpatient. How should this be billed?
05/02/2016

Treating patient lists as a “trade secret” that doctors can’t take with them when they leave may lead to legal challenges and expensive settlements; instead try crafting contract language that gives departing providers, your practice and your patients what they need.

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