2017 MIPS Reporting Deadlines Are Fast Approaching, Are You Ready?

You can still avoid a 4% negative fee adjustment in payment year 2019 by submitting data for reporting year 2017 but you do not have a lot of time left to report! If you are planning on reporting for 2017 MIPS, here are some critical dates that are quickly approaching: March 1, 2018 – was […]

Payment Reduction for X-Rays Taken Using Computed Radiography

Effective January 1, 2018, payments for imaging services that are X-rays taken using computed radiography (including the technical component portion of a global service) provided during CY 2018, 2019, 2020, 2021, or 2022, will be decreased by 7 percent. For CY 2023 and subsequent years, payments will be decreased by 10 percent for these services. […]

MIPS – Changes for 2018

Just when you think you have a proficient grasp on the new CMS Quality Payment Program-The Merit-based Incentive Payment System (MIPS) has changes in store for January 1, 2018.  There are some helpful changes such as an increase to the “Low-Volume threshold” and additional points being awarded for improvement in the Quality and cost category […]

CPT 2018 Summary of Changes

CPT changes go into effect on 1/1/2018. A few highlights for frequently used categories are noted below. Please refer to the spreadsheet link here to review all code additions, deletions and revisions. The spreadsheet includes a summary tab and additional tabs separated by specialty. For ease of review, the code change category is noted in […]

News From the National Oncology PET Registry

Closure of NOPR (NaF-PET) on December 14, 2017  On December 15, 2015, The Centers for Medicare & Medicaid Services (CMS) issued a final decision memorandum http://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=279 pertaining to the coverage of bone PET with F-18 sodium fluoride (NaF-PET) to identify bone metastasis. This National Coverage Decision (NCD) extended the requirement for coverage with evidence development (CED) under […]

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 […]