Tagged with MPFS Medicare Fee Schedule

CMS Updates cEQM Table for ECs and EPs for 2017 Performance Period

CMS has published an updated table accompanying the 2016 eCQM specifications for the 2017 performance period. The updated table removes the previous meaningful use domains and now aligns with the domains listed in CY 2016 Medicare Physician Fee Schedule, as well as the MIPS and Advanced APM tracks of the Quality Payment Program.

Humana Updating Internal Medicine Claim Processing Edits

Effective September 19, Humana will update claim processing edits for Internal Medicine procedures, including: Sequential IV push, Telephone assessment and management, Home visit, Polysomnography, and Immune globulin.

Humana Updating Radiology Claim Processing Edits

Effective September 19, Humana will update radiology claim processing edits, including: procedure code guidelines policy, obstetric ultrasound frequency,Zika virus, radiation treatment delivery, computed tomographic colonography, consultation on x-ray, magnetic resonance spectroscopy, and radiological examination of the hips and lower extremities.

New Enrollment Requirements for Medicare Advantage

The proposed rule (pdf) for the Medicare Physician Fee Schedule has provisions requiring certain physicians and providers providing care to Medicare Advantage (MA) enrollees to be screened and actively enrolled in Medicare, the same as current rules for Medicare Parts A and B.