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 […]

MIPS Overview Webinar Available on the Meridian Website

January 1, 2017, is rapidly approaching and the Centers for Medicare and Medicaid Services (CMS) will be rolling out their new Quality Payment Program, specifically the Merit-Based Incentive Payment System (MIPS) and the Advanced Payment Models (APM). This year, 2016, is the last reporting period for the Physician Quality Reporting System (PQRS) as it currently […]

CMS Finalizes 2017 Medicare Physician Fee Schedule

On Wednesday, November 2, 2016, CMS finalized revisions to payment policies under the physician fee schedule along with other revisions to Part B for calendar year 2017. These changes are scheduled to be published in the Federal Register on November 15, 2016. These revisions and regulations will be effective on January 1, 2017. Among these […]