Coronavirus (COVID-19) Update from CIPROMS
The well-being of our employees and service to our clients are top priorities. READ MORE
MIPS Extreme and Uncontrollable Circumstances Flexibilities Extended for 2020
The Centers for Medicare and Medicaid Services is automatically applying its extreme and uncontrollable circumstances policy to all MIPS eligible clinicians for the 2020 performance period. The agency also is reopening the MIPS EUC application for individual MIPS eligible clinicians, groups, virtual groups, and Alternative Payment Model Entities through March 31, 2021. READ MORE
Pre-Anesthesia Evaluation, Pre-Surgery History & Physical, and Separately Reported E/M Services: Know the Difference
While recent changes to office or other outpatient evaluation and management coding and billing guidelines may not affect anesthesiologists most of the time, there are instances when knowing the new rules will come in handy, especially with patients who have complex medical co-morbidities. READ MORE
Medicaid Work Requirements, Including Indiana’s, Under Review
On Friday, the Centers for Medicare and Medicaid Services put states with Medicaid work requirements on notice for a likely partial withdrawal of their section 1115 demonstration project waivers. READ MORE
Providing and Billing for Medication Assisted Treatment for Opioid Use Disorder in the ED
In the 2021 Medicare Physician Fee Schedule, CMS finalized the creation of add-on G-code, G2213, to be billed with E/M visit codes used in the ED setting for medication assisted treatment of opioid use disorder. Having a code to use, however, is not the only hurdle for emergency physicians to cross in providing and billing of MAT for the treatment of opioid use disorder. READ MORE
Previewing QPP Data on Medicare Care Compare
Physicians and clinicians can now preview their 2019 Quality Payment Program performance information before it will appear on the Medicare Care Compare website and in the Provider Data Catalog. READ MORE
Updates to the 2021 Medicare Physician Fee Schedule, Anesthesia Conversion Factor
The 2020 Coronavirus Relief & Omnibus Agreement provided much-needed relief for anesthesiologists, especially through updates to the 2021 Medicare Physician Fee Schedule and Anesthesia conversion factor. READ MORE
Bridging Three Years of MIPS: What You Need to Know about 2019, 2020, and 2021
Once again the first few months of the new year require physicians and other healthcare providers to bridge three different program years of CMS’s Merit-based Incentive Payment System (MIPS). Here’s a look at what you need to know about the 2019, 2020, and 2021 MIPS performance periods in the new year. READ MORE
Unpacking the No Surprises Act
After years of negotiation and proposed legislation, a last-minute COVID-19 relief bill passed on December 22, 2020, also included a ban on surprise billing under the No Surprises Act, which means patients will be held harmless for any bills for out-of-network emergency or air ambulance services and many out-of-network services provided at in-network facilities. READ MORE
Latest COVID-19 Relief Package: What Physicians Can Expect
An 11th-hour COVID-19 relief package was approved by both houses of Congress a few days before Christmas and signed into law by President Trump a few days after. The legislation, second in size only to the CARES Act passed last spring in the early days of the pandemic, provides wide-ranging relief to multiple sectors throughout the country, including physicians. READ MORE
7 Things to Know About Medicare for 2021
As we begin 2021, the Centers for Medicare and Medicaid Services has released a variety of information healthcare providers need to know about billing Medicare in the new year. We’ve created a short list of the top seven things providers should know. READ MORE
