Part B News | Editors' Blog

Expert: CMS is auditing for MIPS now — here's how to prepare

by: Roy Edroso Oct 30, 2019

Recently Part B News gave you a heads-up on materials that you should store in case CMS audits your MIPS attestations. We got some added detail on the situation in a conversation with Lori Foley, managing principal with the PYA consultancy in Atlanta.

Breaking: CMS backtracks on E/M pay changes, pivots to documentation overhaul

by: DecisionHealth Staff Jul 29, 2019

You can dismiss a lot of the controversial updates to office E/M services, such as blended payment rates, that drew an outcry from the medical community. But you’re now on the clock to get in line with far-reaching documentation changes for these oft-used services, according to the 2020 proposed Medicare physician fee schedule released today.

Data validation alert: MIPS audits start this month

by: Julia Kyles, CPC Jul 24, 2019

Quick question: Where is the documentation that supports your doctor's MIPS performance in 2017? If you don’t know the answer, start looking now and you'll spare yourself a last-minute scramble.

Clinicians rise to the challenge, improve MIPS scores despite increased requirements

by: Laura Evans, CPC Jul 19, 2019

Patient relationship codes: CMS drops a hint about the other X modifiers

by: Julia Kyles, CPC May 13, 2019

Had you forgotten about the new patient relationship category modifiers unveiled in the 2018 Medicare physician fee schedule? CMS hasn't. The five new modifiers are still out there and still voluntary. But expect Medicare to shift to mandatory reporting of the modifiers soon as part of the cost portion of the merit-based incentive payment system (MIPS).

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