KMA Business Advocacy Manager Lindy Lady explains the MIPS quality payment program and the four categories of MIPS.
Category Archives: MACRA/MIPS
KMA Business Advocacy Manager Lindy Lady explains the MIPS and MACRA as well as what physicians need to know to avoid penalties in this video podcast.
Update – Merit-based Incentive Payment Systems (MIPS) Physicians to Receive Participation Status Letter
Kentucky physicians will soon be notified whether they will need to take part in MIPS, the Merit-based Incentive Payment System, which is one component of the new Quality Payment Program. The Centers for Medicare and Medicaid Services has been reviewing claims to determine the participation status for MIPS physicians and other clinicians associated with the Taxpayer Identification Number (TIN) in the practice. Practices should receive letters explain physicians’ statuses through the end of May from CGS, the Medicare Administrative Contractor
KMA will be very busy this year advocating for you, your practice and your patients’ health. Did you know the top priorities for KMA this year include: Smoking cessation help by eliminating the mandatory step requirements for drug/counseling treatment to get the treatment YOU want for patients. Domestic violence changes in mandatory abuse reporting by having physicians simply provide victims with easily accessible referral information for the regional domestic violence programs or rape crisis centers and documenting the injuries in
Starting in 2017, physicians must make an important decision each year—one that will affect Medicare reimbursements. The new Medicare Quality Payment Program, which includes the Merit Based Incentive Payment System (MIPS), has an implementation date of Jan. 1, 2019, but physicians must take action starting in 2017 to avoid payment reductions or have a chance to receive payment incentives in 2019 of up to 4 percent. “Due to the advocacy efforts of the American Medical Association, the Kentucky Medical Association
The new Medicare Quality Payment Program, which includes the Merit Based Incentive Payment System or MIPS, has an implementation date of Jan. 1, 2019, but physicians must take action starting in 2017 to avoid payment reductions or have a chance of receiving payment incentives in 2019 of up to 4 percent. This article is the last in a three-part series. Earlier you were provided with MIPS terminology and how to navigate MIPS regulations. In this final article, we share the
The Office of Inspector General (OIG) in November released the annual Work Plan, which is designed to ferret out fraud, waste and abuse in the Medicare and Medicaid programs. Typically, the OIG identifies potential problem areas based on previous small-sample (probed) audits. The work plan includes one area of particular concern to physicians: Medicare Payments for Transitional Care Management (TCM) and Chronic Care Management (CCM) The OIG will review TCM and CCM payments to ensure compliance with Medicare requirements while
Starting in January 2017, your practice needs to do something to avoid up to a 4 percent penalty in 2019. At KMA, we are trying to get the information to you to download, put in a binder, label MACRA, and have ready for quick reference to avoid penalty cuts. Follow these five easy steps. Step One Copy/download the article from our October Newsletter to have the terminology and explanations handy. Step Two If this is your very first year participating
Kentucky will have a new Medicare Recovery Audit Contractor to perform post-payment review. The Centers for Medicare and Medicaid Services announced Oct. 31 that Performant Recovery will be the new Medicare RAC for the Commonwealth. Recovery Audit Contractors in four regions perform post-payment review to identify and correct Medicare claims that contain improper payments (overpayments or underpayments) that were made under Part A and Part B, for all provider types, except for durable medical equipment, prosthetics, orthotics, and supplies and
Comments from physicians across the country prompted a number of positive changes to final regulations for the Medicare Accountability and CHIP Reauthorization Act (MACRA). The Centers for Medicare and Medicaid Services (CMS) on Oct. 14, 2016, released final regulations for MACRA, which implements the Quality Payment Program that will transition Medicare away from fee-for-service and into pay for performance. The program includes two options for physicians’ participation–Merit-based Incentive Payment System (MIPS) or the Alternative Payment Models (APMs). KMA and other