Part B News | Editors' Blog

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).

You now have LESS THAN A MONTH to submit your 2018 MIPS data.

by: Roy Edroso Mar 5, 2019

When we reported in January that you had till April 2 to report Quality Payment Program data to CMS, you may have thought you had plenty of time to think about that later -- but here's a reminder that it's now less than a month away.

You showed exceptional MIPS performance? Congrats! Here’s why your bonus is so low

by: Laura Evans, CPC Jan 9, 2019

The QPP program promised bonuses of “up to 4%” in 2019 for clinicians’ reporting achievements in the first year of MIPS performance. But in reality, eligible clinicians are finding that their bonuses are more in the neighborhood of 2% of their Medicare Allowable payments.

Massive E/M changes slow down as CMS gives practices greater prep time

by: DecisionHealth staff Nov 1, 2018

CMS hit the brakes on making imminent changes to the oft-used E/M code set that’s tied to billions of dollars in medical practice revenue. Streamlined payment rates are off the table for 2019, as are vast documentation revisions, according to the 2,378-page final 2019 Medicare physician fee schedule released Nov. 1. Once you’ve read through our detailed breaking news, take our quick, confidential survey to share your opinion.

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