Tagged with Medicare Billing

2018 CMS QRDA III Implementation Guide Updates

CMS has published an updated 2018 CMS Quality Reporting Document Architecture Category III (QRDA III) Implementation Guide (IG) for Eligible Clinicians and Eligible Professionals (EPs). The update includes renaming of the Merit-based Incentive Payment System (MIPS) Advancing Care Information performance category, as well as changes to the MIPS performance period reporting.

Virginia Launches Program to Connect All EDs Statewide

Virginia has launched a pioneer program to connect all hospital emergency departments (EDs) across one state. The first of its kind in the United States, the Virginia Emergency Department Care Coordination (EDCC) Program will facilitate real-time communication and collaboration among health care providers, health plans, clinical and care management personnel for patients receiving services in Emergency Departments.

CMS Advances MAQI Demonstration to Waive MIPS Requirements

CMS has advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration, which, when approved and adopted, would waive Merit-Based Incentive Payment System (MIPS) requirements for clinicians who participate sufficiently in certain Medicare Advantage plans that involve taking on risk.

MBI Changes for New Medicare Cards

CMS has posted information regarding the instances in which a Medicare Beneficiary Identifier (MBI) could be subject to change.

CMS Reintroduces QMB Information in Provider RAs and MSNs

CMS has issued a reminder to Medicare providers regarding proper billing for certain beneficiaries enrolled in the Qualified Medicare Beneficiary (QMB) program and also announced the reinstatement of QMB information in provider Remittance Advices (RAs) and Medicare Summary Notices (MSNs).

Laboratory Date of Service Exception Extended

CMS has released a notice stating it will exercise enforcement discretion, through the next year, for the laboratory date of service exception policy for certain laboratory and molecular pathology tests.

CMS Launches New DEL Interoperability Database

CMS has announced the launch of its Data Element Library (DEL), a new free database designed to support the exchange of electronic health information between providers and facilities.