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2024 Healthcare Leaders Association of Alabama Summer Conference

2024 Healthcare Leaders Association of Alabama Summer Conference July 29-31, 2024 The Lodge at Gulf State Park, A Hilton Hotel Gulf Shores, AL https://www.hlaalabama.com/site_page.cfm?pk_association_webpage_menu=1609&pk_association_webpage=4683  

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Tag: CMS MIPS

2019 Promoting Interoperability Hardship Exception Now Available

2019 MIPS Promoting Interoperability Hardship Exception Applications are Now Available CMS is now accepting hardship exception applications for the Promoting Interoperability (PI) category for the 2019 MIPS performance period. The following exceptions are available: Small practice De-certified EHR technology Insufficient Internet connectivity Extreme and uncontrollable circumstances such as disaster, practice closure, severe financial distress, or vendor issues Lack of control over the availability of certified EHR (CEHRT) If your application is approved, your PI score…
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MediSYS Webinar: Reporting in the New Year!

Join MediSYS on January 23 at 11:00 AM CST for our Online Webinar – Reporting in the New Year! It may be a new year, but your reporting needs to be done just like you did last year! Let MediSYS guide you through daily/weekly reporting and A/R management to keep your office going full steam ahead throughout the year. Click here to register: https://attendee.gotowebinar.com/register/5397131342027161090  

MIPS Promoting Interoperability hardship exception now available

MIPS Promoting Interoperability hardship exception now available – Submit today, don’t wait! For 2018 MIPS, eligible clinicians can submit a QPP Hardship Exception Application to have the Promoting Interoperability (PI) performance category (formerly ACI) reweighted to 0 percent citing one of the following reasons: Small practices (15 or fewer clinicians) NEW for 2018 Using decertified EHR technology NEW for 2018 Insufficient Internet connectivity Extreme and uncontrollable circumstances Lack of control over the availability of CEHRT Application…
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MACRA Minute – Request your MIPS Targeted Review Today

Helping you put the MIPS pieces together each week! October 1 is the deadline to request a MIPS Targeted Review – But Don’t Wait! A targeted review is a process where MIPS ECs can request CMS review their 2017 MIPS participation year calculations. If you suspect there are errors or data quality issues with your 2019 payment adjustment then don’t delay! Confirm you have an Enterprise Identity Management (EIDM) account today and log in to…
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MACRA Minute – Exclusion vs. Special Status for 2018 MIPS

Helping you put the MIPS pieces together each week!   Difference between Exclusions and Special Statuses for 2018 MIPS EXCLUSION means you are EXEMPT from participation in MIPS and therefore will not receive a negative or positive payment adjustment. These include: Newly enrolled to Medicare (enrolled during the performance period) Below the low-volume threshold which means: Medicare allowable covered charges less than or equal to $90,000 a year OR 200 or less Medicare part B patients…
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Palmetto GBA Incorrect Claim Rejections- Group NPI and Rendering Provider NPI Do Not Match

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 – Data Validation & Auditing

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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