The data reporting period is now open. Private Payer data are due to CMS by March 31, 2017. Under the final rule, laboratories, including physician office laboratories, are required to report private payer rate and volume data if they: have … Continued
As 2017 begins, Revenue Cycle Management companies continue to navigate the Quality Payment Program. PMI recently contacted the QPP Service Center to ask the following questions: In the past we were able to submit quality data both by Claims and … Continued
PMI recently contacted the QPP Service Center regarding the following question: Are physicians that work in IDTF’s required to participate in MIPS? Under PQRS they were exempt from participation. The QPP Service Center responded: Page 171-172 of the QPP Final … Continued
Preparing to participate in the 2017 QPP reporting year continues to present challenges as Revenue Cycle Management companies move forward with the program information that has been made available. PMI recently contacted the QPP Service Center to ask when the … Continued
Members of CMS’s National Standards Group (NSG) recently visited PMI to discuss real- world examples of the challenges physician billers face in their day-to-day operations. The participants were able to see the inner workings of a revenue cycle management company … Continued
Anthem and Cigna are working to save a $48B deal and have begun presenting their case to a federal judge looking to prove the merger will not have a negative impact on consumers. Their position is that the merger will … Continued
With the release of the final rule, independent laboratory pathologists are now included in CMS’s Quality Payment Program. With a January 1, 2017, effective date, it will be important for organizations to implement a plan on how to participate in … Continued
Collecting co-payments and deductibles continues to be a challenge for physicians and physician billers in the era of high deductible health plans. It is often difficult to know the patient’s responsibility and collect accurate payments at the time of service. … Continued
Last week, in preparation for the release of the final rule, PMI participated in testing the prototype of CMS’s website dedicated to providing tools and education regarding the Quality Payment Program https://qpp.cms.gov/. The feedback provided by PMI aimed to assist … Continued