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Safely Care for Patients while Maintaining Revenue

With the number of new COVID cases on the rise, many clinics are boosting their use of Telehealth to keep patients and staff safe.  Regardless of age, patients expect the flexibility of virtual visits.  Plus, with the new year, many practices are expanding access to Annual Wellness Visits by using Telehealth for established patients since CMS and many carriers will cover it with patient consent.   If you are not using Telehealth or find your Telehealth…
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2021 Performance Period Suppressed Merit-based Incentive Payment System (MIPS) Quality Measures

The following measures are excluded from a MIPS eligible clinician’s total measure achievement points and total available measure achievement points: (i) each submitted CMS Web Interface-based measure that meets the data completeness requirement, but does not have a benchmark or meet the case minimum requirement, or is redesignated as pay-for-reporting for all Shared Savings Program accountable care organizations by the Shared Savings Program; and (ii) each administrative claims-based measure that does not have a benchmark…
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2021 MIPS Eligibility – Check Final Status

Visit the QPP Website and login to verify your final 2021 MIPS Eligibility. Your status may have changed due to the second MIPS Eligibility Determination Period (October 1, 2020 – September 30, 2021) which is now updated on the QPP Participation Status Lookup tool on the QPP website. If you reviewed eligibility after the first segment of the MIPS Eligibility Determination Period for 2021 participation year, and you were found NOT Eligible for MIPS at a particular practice then…
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Blue Cross of AL Provider Directory Update and Recredentialing Reminder

Blue Cross has partnered with LexisNexis® Risk Solutions, an independent company, to confirm and verify information for their provider directory. LexisNexis’ VerifyHCP® allows practices to validate or update their information in one place for all participating health plans. Updated practice information allows BCBS to provide patients with current directory information so they can select network providers, choose health plans and ultimately access care. Clinicians who do not respond to verification requests may face delayed claim reimbursements and…
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2020 MIPS Deadline is Nov. 29

Attention MIPS Eligible Providers: MIPS 2020 performance year category reweighting through the extreme and uncontrollable circumstances application and targeted reviews can both be submitted through the Targeted Review form until November 29, 2021. IMPORTANT: Do NOT submit your requests through the EUC Exception Application form currently accessible on qpp.cms.gov. This is currently for the 2021 performance year only. Keep in mind: There’s no need to request reweighting for 2020 performance year for a clinician who was eligible to…
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COVID-19 Vaccine Mandates Deadline Jan. 4th, 2022

Emergency regulation issued, effective Nov. 5th, 2021, requires COVID-19 vaccination of eligible staff at health care facilities that participate in the Medicare and Medicaid programs. The emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) today protects those fighting this virus on the front lines while also delivering assurances to individuals and their families that they will be protected when seeking care. What you need to know: Effective date is November 5th,…
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New/Modifications to the Medicare Place of Service (POS) Codes for Telehealth

Effective date: January 1, 2022 Description revised for POS code 02: POS 02: Telehealth Provided Other than in Patient’s Home Descriptor: The location where health services and health related services are provided or received, through telecommunication technology. Patient is not located in their home when receiving health services or health related services through telecommunication technology. Created a new POS code 10 to meet the overall industry needs: POS 10: Telehealth Provided in Patient’s Home Descriptor:…
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HHS extends COVID-19 Public Health Emergency another 90 Days

The Department of Health and Human Services (HHS) Secretary Xavier Becerra has renewed the public health emergency (PHE) for COVID-19, effective Oct. 18, 2021. The extension will continue all telehealth waivers and other flexibilities pursuant to the PHE determination for another 90 days, ending on Jan 16th, 2022. Note that the Biden administration stated it intends to give a 60 days’ notice before allowing the public health emergency to conclude. Statement from the Secretary of…
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Staffing: A Lingering COVID Hurdle for Medical Practices

According to a recent MGMA poll of medical practices, the biggest COVID challenge they face going into 2022 is staffing.  In fact, of the 983 responses, 73% indicated that staffing issues due to vaccine mandates, quarantine, turnover and hiring difficulties are causing concern.    MediSYS assists clinics with day-to-day back-office functions including medical billing, answering patient billing inquires and more.  Our staff becomes an extension of your team and can provide needed relief while ensuring that your…
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Hurricane Ida Added to Automatic Extreme and Uncontrollable Circumstances Policy for MIPS

FEMA has designated Hurricane Ida as a major disaster. In response, CMS has determined that the automatic extreme and uncontrollable circumstances (EUC) policy will apply to Merit-based Incentive Payment System (MIPS) eligible clinicians in FEMA-designated disaster areas of Louisiana, Mississippi, New York, New Jersey, and Missouri. MIPS eligible clinicians in these areas will be automatically identified and receive a neutral payment adjustment for the 2023 MIPS payment year. During the data submission period for the 2021 performance period (January 3,…
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Biden-Harris Administration to Expand Vaccination Requirements for Health Care Settings

New action will protect patients of the 50,000 providers and over 17 million health care workers in Medicare and Medicaid certified facilities. The Biden-Harris Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect both them and patients from the virus and its more contagious Delta variant.  Facilities across the country should make efforts now to get health care staff vaccinated to make sure they are in compliance when the rule takes…
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First COVID-19 Vaccine Receives Full FDA Approval

After detailed review of clinical trials, the FDA advises that the Pfizer-BioNTech vaccine is safe and effective in preventing serious illness caused by COVID-19, and is fully approved for ages 16 and older. Emergency use authorization continues for those ages 12 to 15, as well as an additional dose for select immunocompromised individuals. For more information visit: https://www.fda.gov/news-events/press-announcements/fda-approves-first-covid-19-vaccine