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Tag: CMS

Now Accepting Public Comments on the Draft 2024 CMS QRDA III Implementation Guide and Schematron for Eligible Clinicians Programs

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The draft 2024 Centers for Medicare & Medicaid Services (CMS) Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG) and Schematron for Eligible Clinicians Programs are available for public comment starting on May 17, 2023, and closing at 5 pm eastern time (ET) on May 31, 2023. The 2024 CMS QRDA III IG outlines requirements for eligible clinicians to report electronic clinical quality measures (eCQMs) for the calendar year 2024 performance period. Visit the ONC Project Tracking System (Jira) website to submit public…
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2021 MIPS Eligibility – Check Final Status

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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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AL and MS Medicaid Program Attestation for 2018

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Alabama Medicaid – Medicaid has changed the name of the Medicaid EHR Incentive Program to Promoting Interoperability (PI) Program. Alabama Medicaid is now accepting PY 2018 attestations and the deadline to submit your data is March 31, 2019. The link to Alabama’s State Level Registry (SLR) is https://alslr.thinkhts.com/. For more information, please refer to AL Medicaid’s Promoting Interoperability (PI) website: http://medicaid.alabama.gov/content/2.0_Newsroom/2.7_Special_Initiatives/2.7.2_Meaningful_Use.aspx.   Mississippi Medicaid – Medicaid has changed the name of the Medicaid EHR Incentive Program…
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Attestation for MIPS 2018

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MIPS 2018 Attestation Deadline is fast approaching! The attestation deadline is April 2, 2019. CMS Web Interface users need to report their Quality performance category data by March 22, 2019. Clinicians who reported Quality measures via Medicare Part B claims throughout the 2018 performance year, CMS will receive your quality data from claims processed by your Medicare Administrative Contractor, and claims for services furnished during 2018 must be processed within 60 days after the end…
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MediSYS Webinar: Reporting in the New Year!

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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  

How does the government shutdown affect payment of your claims?

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How does the government shutdown affect payment of your claims? In a tweet made by Centers for Medicare and Medicaid Services (CMS) shortly after the partial government shutdown began in December 2018, CMS stated, “CMS and its programs (including, but not limited to, @Medicaregov, @Medicaidgov and @Healthcaregov) are NOT affected by the partial gov’t shutdown.” This means that providers should not expect delays in Medicare and Medicaid claims processing and payment due to the shutdown,…
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MIPS Promoting Interoperability hardship exception now available

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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

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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

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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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Annual Wellness Visits

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By Carrie Gulledge RHIA, Director of Electronic Health Records and Jennifer Woodward, Director of Operations with MediSYS   As today’s healthcare drive pushes practices even further down the path of pay for performance versus the older models of pay for volume, administrators and executives throughout healthcare are researching and implementing ideas to provide an overall better experience for patients. Medicare’s Annual Wellness Visits have become one way CMS has encouraged better patient care and follow-up….
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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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New Attestation Resources for the 2016 Medicare EHR Incentive Program

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The Medicare EHR Incentive Programs attestation system will be open from January 3 – February 28, 2017. Providers must attest no later than February 28th, 2017 for the 2016 program year to avoid a 2018 payment adjustment. For 2016 Medicare Meaningful Use attestation the reporting period for all participants, returning and new, is any 90-day period in 2016. NEW Attestation Resources: CMS Attestation Worksheets – Providers can log their MU measures for each objective in…
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