Highlights of the CY 2018 Physician Fee Schedule Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) published the CY 2018 PFS proposed rule on July 21, 2017. This proposed rule includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare PFS on or after January 1, 2018. Under the PFS, payments include services provided by physicians […]


CMS has made available the updated ICD-10-CM and ICD-10-PCS Code lists for 2018. These codes take effect on October 1, 2017. This summary identifies the new codes added, any revised codes, and the deleted codes. The link following this summary document will provide you with the new, revised, or deleted codes by specialty. Reminder: ICD-10 […]

2018 Proposed Rules for MIPS

The 2018 proposed rule for the quality payment program (QPP) is scheduled to be published on 06/30/2017. This new program went into effect 1/1/2017 known as the transition year.  The goals of the program are to improve health outcomes of Medicare beneficiaries, spend more wisely, minimize the burden to participate and become more transparent. Below […]

CMS Announces MIPS Participation Status Letters Coming Out Soon

CMS announced this week, they are currently reviewing claims and notifying practices regarding which clinicians need to take part in the new Merit-based Incentive Payment System (MIPS). MIPS is part of the new Quality Payment Program (QPP) that went into effect January 1, 2017. The new quality program intends to shift reimbursement from the volume […]

MIPS registration for Web Interface and CAHPS survey is now open

If you are a group with 25 or more physicians and anticipate utilizing the CMS Web Interface and/or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the MIPS survey you have until June 30, 2017 to register. Registration opened on April 1, 2017. To register visit the Quality Payment Program website at […]

United Healthcare Breast Imaging Policy Updates

With the new CPT code set for 2017, came changes to the codes for diagnostic and screening mammography. Prior to 2017, two codes were needed to report diagnostic or screening mammography. Effective 1/1/2017, there are now just three codes which include computer-aided detection (CAD) when performed. Codes 77051, 77052 and 77055 -77057 were deleted. United […]

CPT 2017 Summary of Changes

Because 2017 is right around the corner, like every New Year, we have CPT changes to review. You can use the link below to access a spreadsheet containing new/deleted codes that correspond with the chapters in the CPT manual. The spreadsheet is tabbed by specialty or system where applicable. This should make it easier for […]

Radiology Update 2017

CMS declines to revisit CT colonography coverage By Eric Barnes, www.AuntMinnie.com staff writer December 15, 2016 — In a stunning year-end setback for screening CT colonography, the U.S. Centers for Medicare and Medicaid Services (CMS) has turned down a request by advocates for CT colonography to reconsider its 2009 decision not to pay for the […]