2020 MIPS Targeted Review and Extreme and Uncontrollable Circumstances Applications DEADLINE For more information visit: https://qpp.cms.gov/mips/exception-applications?py=2020

On April 13th, 2021, Legislation was passed by Congress that extended the current 2% Medicare sequester moratorium established by the CARES Act through December 31, 2021. The previous expiration date was March 31, 2021. CMS had previously instructed all MACs to hold all claims with dates of service beginning April 1st for a short period of time as not to interfere with cash flow, in anticipation of possible Congressional action to extend the 2% sequester...
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The 2021 Performance Year MIPS Promoting Interoperability Performance Category Hardship Exception and Extreme and Uncontrollable Circumstances Exception is now OPEN. Submit your applications to CMS by December 31, 2021. For more information visit the MIPS Promoting Interoperability Performance Category Hardship Exception and Extreme and Uncontrollable Circumstances Exception QPP webpages and link to the application.

Close any gaps in Chronic Kidney Disease Test by December 31, 2021 BCBS Alabama Primary Care Select providers can improve their Chronic Kidney Disease Test measure score by ensuring their attributed patients who have diabetes receive at least one of the following screenings in the current year: Albumin / Creatinine Ratio test and Basic Metabolism (BMP) test Comprehensive Metabolic Panel (CMP) test Renal Function Panel test eGFR test

CMS issued a final rule that, for the first time, requires that Part D prescription drug plans support a new electronic prior authorization transaction standard for their Part D e-prescribing programs. This new electronic prior authorization standard will allow prescribers to see that a drug is subject to prior authorization, while they are prescribing it. This policy change helps ensure that there are secure electronic transactions between prescribers and Part D plan sponsors, and that...
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The Centers for Medicare & Medicaid Services (CMS) issued a final rule that requires Part D prescription drug plans support a new electronic prior authorization transaction standard for their Part D e-prescribing programs. This new electronic prior authorization standard will allow prescribers to see that a drug is subject to prior authorization, while they are prescribing it. This policy change helps ensure that there are secure electronic transactions between prescribers and Part D plan sponsors,...
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NO SURPRISES ACT — NOTICE REQUIREMENTS EFFECTIVE JANUARY 1, 2022 For more information please visit: https://www.pyapc.com/insights/no-surprises-act-notice-requirements-effective-january-1-2022/

The Centers for Medicare & Medicaid Services (CMS) recently announced the following implementation dates for all remaining states and territories for the nationwide expansion of the Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization Model. The model will begin: On December 1, 2021 in Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas; No earlier than February 1, 2022 in Alabama, American Samoa, California, Georgia, Guam, Hawaii, Nevada, Northern Mariana Islands and Tennessee; No earlier than April...
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