CODING FOR THE 2018-2019 INFLUENZA SEASON

October 12, 2018

2018–2019 Influenza Season – Vaccine Chart   There are many different flu viruses and they are constantly changing. Each year research is done to determine the most common three or four viruses. The composition of U.S. flu vaccines is updated as n …

Highlights of Proposed Changes to MIPS in MPFS Proposed Rule CY 2019

July 25, 2018

The proposed rule for 2019 was released on July 12, 2018. Meridian Medical Management posted a high overview of proposed changes to Payment Policies under the Medicare Physician Fee Schedule. There are also changes proposed for the Quality Payment Prog …

Medicare Physician Fee Schedule Proposed Rule for CY 2019

July 23, 2018

The proposed rule that will affect some payments under the Medicare Physician Fee Schedule and/or payment methodologies was released by CMS on July 12, 2018. This is a high overview of some of the changes; all clients should review the proposed rule to …

Final 2017 MIPS Scores

July 12, 2018

2017 Final MIPS Performance Feedback is now available. Special scoring circumstances and all MIPS data submitted or calculated for an individual clinician, group, or APM Entity will be reflected. Final MIPS Performance Feedback includes the 2017 Final …

Medicare Physician Fee Schedule Database Update – July 2018

June 27, 2018

July brings changes to the 2018 Medicare Physician Fee Schedule Database (MPFSDB).  Changes are effective for dates of service beginning July 1, 2018. PE RVU Imaging Code Changes CPT Code 71045 (radiologic examination, chest, single view, frontal) …

MIPS Name Change Announced for Advancing Care Information (ACI)

June 12, 2018

The Centers for Medicare & Medicaid Services (CMS), has announced a name change for the ACI category under the Merit-Based Incentive Payment System (MIPS) to the Promoting Interoperability performance category. Don’t panic! This is not a new perfor …

Screening Mammography – Type of Service Code Change

June 8, 2018

The Type of Service (TOS) code for CPT code 77067 for Screening Mammography will be updated to “1” (Medical Care) instead of “4” (Diagnostic Radiology). This will allow for accurate claim submission and adjudication of screening mammography. Correcting …

Connecticut Supreme Court Allows Patients to Sue Providers for HIPAA Violations

June 8, 2018

A recent ruling by the Connecticut Supreme Court allows patients, who have suffered losses or harm from the unauthorized disclosure of their protected health information, the right to bring legal action against providers for unauthorized disclosure of …

Protecting Access to Medicare Act (PAMA) Keeping Informed: Appropriate Use Criteria (AUC)

May 8, 2018

PAMA established a new program to raise the number of appropriate advanced diagnostic imaging services provided to Medicare beneficiaries. This program requires the ordering professional to consult a qualified Clinical Decision Support Mechanism (CDSM) …

Introduction to Patient Relationship Categories and Codes

May 7, 2018

Introduction to Patient Relationship Categories and Codes In 2017 MACRA revoked the Sustainable Growth Rate (SGR) formula and introduced the Quality Payment Program; a payment program based on quality of care and not quantity. The Quality Payment Progr …

Receive Full Credit for 2018 MIPS IA Category by Participating in CMS Study

April 20, 2018

Apply by April 30, 2018 CMS is studying burdens on clinicians associated with reporting Quality Measures under the Merit-Based Incentive Payment System (MIPS) and would like input from MIPS eligible clinicians. Clinicians who successfully participate i …

Hutchinson Clinic Selects Meridian Medical Management for Revenue Cycle Management

April 12, 2018

118 provider multi-specialty healthcare organization leverages robotics to improve revenue cycle efficiency   Windsor, CT – April 12, 2018 (GLOBE NEWSWIRE) – Meridian Medical Management announced today that Hutchinson Clin …