July 19, 2017

Proposed 2018 Medicare Physician Fee Schedule

The proposed 2018 Medicare physician fee schedule includes 11 specialty groups tapped too receive additional payments for their services.  Among the specialties slated for an increase are clinical social workers with a 3% increase, followed by clinical psychologists with a 2% increase.  Several other specialties would receive a 1% increase, such as physcial/occupational therapy, geriatrics, hand surgery, psychiatry, podiatry, physical medicine, radiation oncology and radiation therapy centers, chiropractors, and infectious disease.  The biggest hit would be for diagnostic testing facilities... Read More...
May 30, 2017

MIPS-Exempt? Check Online

By now you should have received a letter from Medicare indicating whether or not you are exempt from the new MIPS reporting requirements.  You can now go online to determine whether your physician is exempt from the Merit-Based Incentive Payment System for the 2017 performance period. The 2017 MIPS scores can affect 2019 Medicare payments. The Centers for Medicare & Medicaid Services has added a national provider identifier (NPI) lookup tool to its Quality Payment Program website. Physicians who bill Medicare can use the tool to find out if they are required to submit data to MIPS or if... Read More...
September 19, 2016

ICD-10 Grace Period Ends

ICD-10's one-year anniversary is around the corner and so is the end of CMS's first year grace period.  We expect CMS to start taking a closer look at diagnosis coding patterns, particularly the use of the unspecified codes.  This next year, CMS is adding over 1,900 codes, revising 400 codes, and deleting more that 300 codes.  To avoid denials and unanticipated cash flow issues, take time to review the 2017 ICD-10-CM information listed on CMS's website:, become knowledgeable of the updates to your specific specialty, and... Read More...


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