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 […]

Maximizing MIPS: Don’t Leave Money on the Table

Medicare’s Merit-based Incentive Payment System (MIPS) program recently passed an important milestone: October 2 was the date by which providers must have begun collecting – but not reporting – quality measures to be eligible for a MIPS bonus in 2019. While the calendar has already moved past that date, it is likely that many providers […]

Self-Service: One Pillar of Business Intelligence

Dan Reber, VP of Product Strategy and Development, PrecisionBI Earlier, we talked about the four pillars that serve as cornerstones for successful business intelligence (BI) initiatives: Self-Service, Collaborative, Enterprise and Automated. To fully appreciate how they work together, it is important to understand how each one functions and its role. We will start with Self-Service […]

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 […]

OVERVIEW OF ICD-10 CODE: ADDITIONS, REVISIONS, AND DELETIONS – EFFECTIVE 10-1-2017

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 […]

Middlesex Hospital Utilizing Enterprise Analytics to Drive Efficiency

Jonathan Sharr, Senior Decision Support Analyst, Middlesex Hospital A community hospital based in Middletown, Conn., Middlesex Hospital strives to provide the safest, highest-quality healthcare, and the best experience possible for our community. Our position as the state’s first Mayo Clinic Care Network member demonstrates our commitment to improving care through innovation and collaboration. To do […]