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The slight increase in the conversion factor means little or no change in reimbursement for most of your E/M codes and other high volume services – with two exceptions.
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.
If the term enterprise identity management (EIDM) doesn't ring a bell, you may not be able to see the quality report cards for your clinicians and your practice when CMS releases them. If you can't see the reports, you could miss your only chance to dispute CMS' decision to apply quality and cost pay cuts against individual clinicians or the entire group in 2018.
You have until Dec. 7 to dispute physician quality reporting and value-based modifier pay cuts. As Part B News has reported, the requests should be detailed because this is a provider or practice's only chance to convince CMS to take a second look at its decision. However, a subscriber noted that there is a character limit for the narratives that can be submitted with the requests and asked if there were any work-arounds. As it turns out, there are.
Practices that meant to - but never got around to - filing an informal review request to dispute a physican quality reporting or value-based modifier pay cut still have time. CMS announced today that it will extend the informal review request deadlines to Dec. 7.

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