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October is right around the corner. In addition to cooler nights and pumpkins that means it will be time to use the latest ICD-10-CM codes.
CMS is taking the training wheels off the targeted probe and educate (TPE) progam pilot that it rolled out in May and expanded in June. Effective Oct. 1, your Medicare administrative contractor (MAC) will begin to phase out most forms of medical review and replace them with TPE.
Take time to download - and decipher - the quality and resource use report for your practice's clinicians. That's the only way you'll know whether individual providers or the entire practice will be subject to a pay cut based on their 2016 physician quality reporting system efforts.

Allegations of False Claims Act violations grew into allegations of Stark Law violation, and now a multi-location practice, its CEO and its former lab director will pay more than $1 million to resolve the case.

Still need help selecting measures for the inaugural year of the merit-based incentive payment system (MIPS)? You're in luck if you're an anesthesia provider, emergency medicine specialist, ophthalmologist or orthopedist.


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