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Tag: 2017 MIPS

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

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

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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…
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Mid-Week MACRA Minute – Advancing Care Information Tips n Tricks

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Helping you put the MIPS pieces together each week! Advancing Care Information: Tips ‘n’ Tricks We created a list of a few tips on the Advancing Care Information (formerly Meaningful Use) performance category for 2017. Remember, the Advancing Care Information (ACI) category counts for 25% of your 2017 MIPS Performance score. Tips ‘n’ Tricks: Make sure you choose the right ACI measure set to report on. This will depend on which version your EHR software is certified; 2014 or…
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Mid-Week MACRA Minute – Improvement Activities Tips n Tricks

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Helping you put the MIPS pieces together each week! Improvement Activities: Tips ‘n’ Tricks We created a list of a few tips on the Improvement Activities performance category for 2017.  Remember, the Improvement Activities category counts for 15% of your 2017 MIPS Performance score. Tips ‘n’ Tricks: The maximum score for the Improvement Activities (IA) category is 40. Each Improvement Activity is weighted differently and the weight determines the points that you will receive for completing the activity:…
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Mid-Week MACRA Minute – Data Validation & Auditing

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Helping you put the MIPS pieces together each week! MIPS Data Validation and Auditing CMS is required by the Quality Payment Program Final Rule with comment, to provide the criteria they will use to audit and validate measures and activities for the 2017 transition year of MIPS for all performance categories: Quality, Advancing Care Information and Improvement Activities. According to CMS, data validation is the process of ensuring that a program operates on accurate and useful data. MIPS…
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Mid-Week MACRA Minute – Who is included in MIPS?

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Helping you put the MIPS pieces together each week! Who is included in MIPS? In 2017, participation is easier than it has EVER been! You’re included in MIPS if you bill Medicare Part B more than $30,000 a year in allowable charges and provide care for more than 100 Medicare patients a year, and are a: Physician Physician assistant Nurse practitioner Clinical nurse specialist Certified registered nurse anesthetist ***First year Medicare Providers in 2017 are…
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CMS Finalizes the New Medicare Quality Payment Program

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BREAKING NEWS! CMS has finalized the new Quality Payment Program (MIPS, APM, MACRA). In order to help explain the new program, CMS has created a new Quality Payment Program website http://qpp.cms.gov. This new website will also help to identify the most relevant measures for your practice or specialty. More information coming soon!