Birmingham 205-631-5969

Montgomery 334-277-6201

Client Login

Request Demo

Blog

MACRA Minute – Low-Volume Threshold Determination Periods

Posted on

Helping you put the MIPS pieces together each week! Deeper look into the low-volume threshold determination periods for MIPS Eligibility in 2018 From the 2018 MIPS final rule, the low-volume threshold determination period is a 24-month assessment period consisting of: An initial 12-month segment that spans from the last 4 months of the calendar year 2 years prior to the performance period through the first 8 months of the calendar year preceding the performance period; AND A…
Read Full Article

MACRA Minute – Check your 2018 MIPS Eligibility Status Now

Posted on

Helping you put the MIPS pieces together each week! Updated Look-up Tool on QPP Website for 2018 MIPS Eligibility CMS has just released an updated look-up tool on their QPP website that enables clinicians to determine whether they must participate in the Merit-Based Incentive Payment Program (MIPS) this year. Visit www.qpp.cms.gov/participation-lookup and enter the Clinicians’ National Provider Identifier (NPI) number to find out whether they are eligible to participate in MIPS during the 2018 performance year. Reminder…
Read Full Article

Palmetto GBA Incorrect Claim Rejections- Group NPI and Rendering Provider NPI Do Not Match

Posted on

Issue Identified 3/19/2018 Palmetto GBA is aware that certain Jurisdiction J Part B claims rejected incorrectly when the billing (group NPI) and rendering provider (individual NPI) combination were submitted correctly. Affected claims incorrectly rejected with: Claim Adjustment Reason Code CO-16 (Claim/service lacks information or has submission/billing error(s) and Remittance Advice Remark Code N290 (Missing/incomplete/invalid rendering provider primary identifier) While Palmetto GBA continues to research the issue, a temporary workaround has been implemented to prevent claims…
Read Full Article

The Providers Role in the New Medicare ID Transition

Posted on

by Jane Ehrhardt Published: February 14, 2018 in the Birmingham Medical News “The one thing doctors should be doing is making sure their patients have their address correct with Medicare,” says Phillip Allen, billing service manager with MediSYS. “The patient won’t get a new card if their address is not correct.” This simple reminder could diminish ongoing problems for providers in the massive transition underway to distribute new Medicare ID numbers. Since its inception in…
Read Full Article

Mid-Week MACRA Minute – December 31 DEADLINES

Posted on

Helping you put the MIPS pieces together each week! DECEMBER 31st Deadlines: Quality Payment Program (QPP) 2017 Hardship Exception Application for the ACI category Virtual Groups Registration for 2018 MIPS Participation Security Risk Analysis for 2017 MIPS Participation See below for details on each of these deadlines: The Quality Payment Program (QPP) 2017 Hardship Exception Application for the ACI Category MIPS eligible clinicians (ECs) and groups may qualify for a reweighing of their Advancing Care…
Read Full Article

Mid-Week MACRA Minute – ACI Measures that no longer have an exemption

Posted on

Helping you put the MIPS pieces together each week! It’s not too late to finish strong with MIPS reporting in 2017! In this week’s MACRA Minute, we want to point out a few measures that no longer have an exemption available for 2017 reporting! In the 2017 Advancing Care Information (ACI) Transition Objectives and Measures category: Objective 6 – Health Information Exchange There is no longer an exemption. In previous years, if there were less than…
Read Full Article

Mid-Week MACRA Minute – Virtual Groups for 2018 MIPS Participation

Posted on

Helping you put the MIPS pieces together each week! Virtual Groups for 2018 MIPS participation What is a Virtual Group? Virtual Groups is a new participation option for year 2. (**NOTE this is only for 2018 MIPS participation) A virtual group consists of 2 or more TINs including solo providers or groups of 10 or less ECs who work together, no matter specialty or location, to participate in MIPS. virtual groups will benefit small and…
Read Full Article

Mid-Week MACRA Minute – Security Risk Assessment

Posted on

Helping you put the MIPS pieces together each week! The importance of having and maintaining an up-to-date Security Risk Assessment Security risk assessments have been required for the past 12 years and it was also a requirement of the Meaningful Use program in previous years. HIPAA requires that covered entities conduct a risk assessment of their healthcare organization to help ensure compliance with HIPAA’s administrative, physical, and technical safeguards. A risk assessment also identifies areas…
Read Full Article

Mid-Week MACRA Minute – Maximize Your ACI Category Score

Posted on

Helping you put the MIPS pieces together each week! Tips on how to maximize efficiency within the Advancing Care Information (ACI) (formerly Meaningful Use) category for 2017 MIPS reporting Earn a bonus score worth 15% of your advancing care information final score: Earn 5% bonus for reporting on one or more of the following Public Health and Clinical Data Registry Reporting measures: Syndromic Surveillance Reporting Specialized Registry Reporting Earn a 10% bonus for using CEHRT to report…
Read Full Article

Mid-Week MACRA Minute – What is the EMA process?

Posted on

Helping you put the MIPS pieces together each week! MIPS Eligible Measure Applicability (EMA) In 2017, to fully participate in the Quality performance category of MIPS, you will need to report on ONE of the below options: 6 quality measures including at least one required to be an outcome measure – IF an outcome measure is NOT available, then you must submit a high priority measure. You will still need to meet data completeness requirement *at least…
Read Full Article

Mid-Week MACRA Minute – Upcoming deadlines you can’t miss!

Posted on

Helping you put the MIPS pieces together each week! Don’t miss out on these MIPS deadlines coming up in October and December!! October 1 Deadline If you are a Medicare clinician eligible to participate in the Merit Based Incentive Payment System (MIPS) in 2017, but have never successfully attested to Meaningful Use in previous years, you can still avoid the -4% Meaningful Use penalty for 2018! If you meet one of the 2 circumstances below, you have…
Read Full Article

Mid-Week MACRA Minute – Want to learn more about MACRA and MIPS?

Posted on

Helping you put the MIPS pieces together each week! What are some of your MIPS questions? Want more information on the Quality measures? Let us know what you would like to see in our weekly MACRA Minute emails! Questions about MACRA, MIPS, or APMS?  Send us questions and topics to MIPS@medisysinc.com and we will answer your questions in our future MACRA Minute emails!   REMINDER: Don’t risk a 4% penalty! Get started before October 1st to optimize your possibility of a higher incentive…
Read Full Article