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2019 qualifying APM participant data now available -- FPM

Jul 12, 2019 - The Centers for Medicare and Medicaid Services has updated its online database to help physicians participating in alternative payment models to determine if they have to participate in the Merit-based Incentive Payment System this year.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_qualifying_APM_participant.html

A new way to earn MIPS credit in 2019 -- FPM

Apr 5, 2019 - A new study of how physicians collect and report quality measures to Medicare is looking for participants. Successful members will get MIPS credit.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Improvement_activity_credit.html

Anthem plans to shorten timely filing limit for claims -- FPM

Aug 9, 2019 - Anthem is notifying practices that they may have less time to timely file patient claims.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/anthem_timely_filing_window.html

Cigna to stop paying for consultation codes -- FPM

Aug 27, 2019 - Cigna is set to stop paying CPT codes for consultations provided to their customers. Here's how to avoid losing that revenue.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/cigna_stops_paying_consultation_codes.html

CMS clarifies documentation for teaching physicians' E/M services -- FPM

May 10, 2019 - Physicians who bill for E/M services while teaching medical students may face some changes under newly clarified federal guidelines.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/teaching_physician_services.html

CMS finds errors in MIPS payment adjustments -- FPM

Mar 1, 2019 - The Centers for Medicare and Medicaid Services says it is working to fix errors in how this year's MIPS payment adjustments were applied to some physicians.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/incorrect_MIPS_payment.html

CMS Primary Care Initiative provides new payment models -- FPM

Apr 26, 2019 - The Primary Care Initiative announced by CMS will give family physicians new payment streams aimed at increasing value-based care.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_Primary_Care_Initiative.html

Family physician pay goes up, satisfaction with pay goes down -- FPM

Apr 18, 2019 - An annual survey of physician compensation shows a healthy gain for physicians. How do you compare?

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_compensation.html

Few receive negative payment adjustment in first year of MIPS -- FPM

Mar 26, 2019 - The vast majority of clinicians who were eligible for and participated in the Merit-based Incentive Payment System in 2017 will avoid a negative payment adjustment to their Medicare claims during the 2019 payment year.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/MIPS_payment_update.html

Flu resources and payment allowances: Medicare releases updates for the 2019-2020 ...

Sep 24, 2019 - Updated influenza vaccine payment allowances went into effect August 1.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/flu_season_updates.html

Got an idea to reduce physician burden? CMS wants to hear it -- FPM

Jun 13, 2019 - The Centers for Medicare and Medicaid Services has opened a request for information, looking for ways to reduce paperwork and allow physicians to spend more time on patient care.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/reducing_physician_burden.html

Helping compare Medicare costs and copayments gets easier -- FPM

Nov 30, 2018 - The Centers for Medicare and Medicaid Services has launched a new online tool that allows consumers to compare Medicare payments and copayments for certain procedures that are performed in both hospital outpatient departments and ambulatory surgical centers.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/procedure_price_lookup.html

HHS taking applications for Primary Care First alternative payment model -- FPM

Nov 13, 2019 - The bundled services model will offer performance bonuses of up to 50%, with downside risk of just -10%.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/primary_care_first.html

How to avoid payment denials on two common diagnostic tests -- FPM

Feb 7, 2019 - The Centers for Medicare and Medicaid Services is advising physician practices on how to avoid billing errors for two common diagnostic tests.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/diagnostic_test_denials.html

How to calculate the value of team documentation -- FPM

Feb 6, 2019 - Having a medical assistant or nurse handle the paperwork related to patient visits can help you be more efficient and increase revenue. Here’s how to calculate the value.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/team_documentation_savings.html

How to check if you are MIPS-eligible in 2018 -- FPM

Dec 7, 2018 - CMS has taken a second look at whether physicians are eligible for MIPS in 2018. Find out if you have to report - and if your 2020 payments are at risk.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2018_MIPS_eligibility_status.html

How to properly code for a Pap smear -- FPM

Feb 27, 2019 - Screening for cervical cancer is often included in the physical exam portion of a preventive medicine service. Follow this advice to see when you can bill separately for a Pap smear.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/pap_smear.html

How to properly code for a pre-op examination -- FPM

Dec 6, 2018 - Family physicians are often asked to preform pre-surgical evaluations for patients undergoing procedures. This requires selecting the correct codes.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coding_preop_exams.html

ICD-10-CM vaping coding guidance -- FPM

Oct 25, 2019 - The CDC has issued supplemental ICD-10 guidance to help physicians submit claims for services provided to patients with vaping-related lung injuries.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/vaping_coding_guidance.html

Incentive payments coming soon for APM qualifying participants -- FPM

Sep 30, 2019 - For clinicians participating in an advanced alternative payment model, 2019 incentive payments from the Centers for Medicare and Medicaid Services could be headed your way soon.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/apm_incentive_payment.html

Is your MIPS score/Medicare payment adjustment incorrect? Time is running out to ...

Sep 10, 2019 - Physicians must submit a targeted review request by Sept. 30, 2019, if they feel their 2018 MIPS final score/2020 MIPS payment adjustments are incorrect.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/mips_review.html

Less than a month left to submit 2018 MIPS data -- FPM

Mar 8, 2019 - Physicians eligible for the Merit-based Incentive Payment System in 2018 have only a few more weeks to report your quality measures.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/MIPS_2018_deadline.html

Medicare changing rules for modifiers to override claims edits -- FPM

Jun 6, 2019 - Medicare and some private payers are set to make it easier to use modifiers to override claims edits.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/modifiers_override_claims.html

Medicare finalizes physician fee schedule and Quality Payment Program for 2020 -- FPM

Nov 6, 2019 - Highlights from the 2020 Medicare physician fee schedule include new codes for chronic care management and principal care management.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_physician_fee_schedule.html

Medicare instructs contractors to cease local pneumococcal vaccination frequency edits ...

Sep 27, 2019 - Have you had inappropriately denied claims for pneumococcal vaccination? Here's what to do.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/pneumococcal_vaccination_frequency_edits.html

Medicare releases proposed rule on 2020 physician fee schedule -- FPM

Jul 30, 2019 - The Centers for Medicare and Medicaid Services has released its proposed physician fee schedule for 2020. Here are some of the highlights affecting family physicians.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_physician_payment_fee_schedule.html

Medicare resolves beneficiary entitlement date errors -- FPM

Oct 28, 2019 - CMS has fixed an issue with beneficiary entitlement date errors that caused improper claim denials and is reprocessing affected claims.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_errors_fix.html

MIPS feedback reports for 2018 now available -- FPM

Jul 5, 2019 - The Centers for Medicare and Medicaid Services has released reports showing how physicians fared during the 2018 Quality Payment Program performance year.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2018_QPP_Feedback_Reports.html

More Medicare claims problems -- FPM

Oct 11, 2019 - An issue with the Medicare eligibility contractor is causing claims to be incorrectly denied based on invalid beneficiary entitlement.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_claims_problems.html

More than half of Medicare claims use new ID cards -- FPM

Jan 18, 2019 - Physicians are showing early success using the new identification cards that the Centers for Medicare and Medicaid Services supplied to Medicare beneficiaries over the last year.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Medicare_claims_new_MBI.html

New Medicare card lookup tool gets update -- FPM

Dec 19, 2018 - Even if your Medicare patients haven't yet received their new ID cards, you can lookup their beneficiary identifier online.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/New_Medicare_card_tool_update.html

New reports look at family medicine office visit billing -- FPM

Feb 22, 2019 - Here's what to do with that Medicare comparative billing report you may have received analyzing how you bill family medicine office visits.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/comparative_billing_reports.html

Practices gain a second chance to review 2017 QPP results -- FPM

Apr 10, 2019 - The Centers for Medicare and Medicaid Services is giving practices additional time to review 2017 Quality Payment Program performance data before making it available for public view.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2017_performance_data_review.html

Ring in the New Year by submitting your 2018 MIPS data -- FPM

Jan 4, 2019 - CMS has officially opened the data submission period for MIPS eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/How_to_submit_2018_MIPS_data.html

States to lose ability to divert Medicaid payments -- FPM

May 5, 2019 - The Centers for Medicare and Medicaid Services is eliminating a 2014 rule that allowed states to divert Medicaid payments to third parties.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Medicaid_final_rule.html

The accurate valuation of office visits: one thing you can do -- FPM

Feb 25, 2019 - The relative value of office-based E/M codes is being reviewed. To help inform that review, family physicians can take this one critical step.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/ruc_survey.html

Time is running out to transition to new Medicare numbers -- FPM

Nov 11, 2019 - Soon physicians will no longer be able to use Medicare Health Insurance Claim Numbers and will have to switch to Medicare Beneficiary Identifiers.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/medicare_identifiers_changing.html

Time to check your 2019 MIPS eligibility status -- FPM

Feb 15, 2019 - If you are unclear whether the Merit-based Incentive Payment System applies to you in 2019, use this tool to check your eligibility.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_MIPS_eligibility.html

UHC moves from denial to downcoding of E/M claims -- FPM

Jan 28, 2019 - Physicians and their coding staff need to be aware of a change in how United Healthcare approaches and pays claims with problematic documentation.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/UHC_downcoding.html

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