The deadline for physicians and other eligible providers to submit data for the 2019 MIPS reporting period has been extended. Providers now have until April 30, 2020, rather than March 31, to submit MIPS data. READ MORE
Individual clinicians and provider groups hoping to take advantage of the facility-based measurement for the 2020 MIPS Quality and Cost performance categories can now check their facility-based status with the updated participation status tool on the Quality Payment Program website. READ MORE
All Indiana Medicaid MCEs who choose to use a list of diagnosis codes to determine whether to cover emergency department claims must use a state-compiled standardized list beginning April 1, 2020. READ MORE
United Healthcare will begin evaluating all level 5 professional Emergency Department claims and potentially downcoding them or denying them for “inappropriate” coding. The new policy, which takes effect April 1, 2020, is part of the payer’s “continued efforts to reinforce accurate coding practices.” READ MORE
CMS recently published the final draft of the Medicare Physician Fee Schedule for 2020. In addition to changing the payment rates for 2020, the Final Rule also mandates changes to several payment policies. We’ve highlighted a few of the biggest changes that would be most interesting to emergency physicians. READ MORE
Researchers estimate as many as one in eight ED visits by adults and one in 10 ED visits by pediatric patients are linked to mental illness and substance use disorders in the US. And those numbers are rising, according to a pair of recent studies. But what can be done? READ MORE
Starting January 1, 2019, all Hoosier healthcare providers who hold a controlled substance registration are required to register for Indiana’s INSPECT program and some practitioners are required to check the database before prescribing an opioid or benzodiazepine to a patient. A recent update to the law clarifies the requirements and moves the law from criminal statute to professional licensing statute. READ MORE
CMS recently published the proposed Medicare Physician Fee Schedule for 2020, including several changes that will impact emergency physicians. READ MORE
Managed Health Services will begin post-payment reviews of level 5 emergency department claims for their Hoosier Healthwise, Healthy Indiana Plan (HIP), and Hoosier Care Connect plans in September 2019. READ MORE
As the surprise billing debate continues, emergency physicians have begun lining up behind one bipartisan House bill. READ MORE
