Medical Billing News – May 2021




CMS Reweighting MIPS 2020 Cost Performance Category

The Centers for Medicare & Medicaid Services just announced changes to the performance category of the Merit-based Incentive Payment System (MIPS): from 15% to 0% weighting for the 2020 performance period – which affects 2022 payments. CMS cites the impact of the COVID-19 public health emergency as the reason for the change. It will redistribute the 15% to another performance category or categories. Read more

Healthcare Roundup

CMS | 1 min read

Medical Groups Urge CMS to Walk Back ACO Quality Overhaul, Citing Potential Negative Impact on Patient Care

Medical groups want to delay or make significant changes to the way accountable care organizations report and are measured on quality. Read More

HIPAA | 2 min read

Providers Supportive of Push to Overhaul HIPAA but Air Serious Concerns About Data Privacy, Timing

Provider groups are worried that too much information sharing of patients’ medical history could impact privacy and inequities in care. Read More

Radiology |2 min read

Hospital-based Primary Care Doctors Order More Inappropriate MRI Scans

According to a recent study, more inappropriate MRI scans are ordered by hospital-based physicians than those in private practice. Read More

CMS | 1 min read

Many Changes as Surgeries Move to ASCs

CMS added hundreds of surgeries and procedure codes to the ASC payable list in 2021 and revealed plans to eliminate the inpatient-only list over the next few years. ASC and hospital administrators are paying close attention to how CMS rolls out new ASC approvals and whether commercial payers update their policies to follow suit. Read More

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