Tag archives: MIPS

CMS Announces Relief on Quality Reporting Program Measures Due to COVID-19 (Coronavirus)

On March 22, CMS announced that for providers participating in quality reporting programs the agency is granting extensions on reporting deadlines and allowing the omission of certain time periods for most program reporting. CMS released a programmatic chart explaining the relief granted considering the “extreme and uncontrollable circumstances” resulting from the COVID-19 pandemic. Of particular … Continue reading

CMS Releases Final Rule on CY 2020 Physician Fee Schedule Updates and Implements Opioid Use Disorder Treatment Programs

On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates the Medicare Physician Fee Schedule (PFS) rates and policies for calendar year (CY) 2020 and expands Medicare coverage to opioid treatment programs (OTPs) that treat beneficiaries with opioid use disorder (OUD). In a fact sheet accompanying the … Continue reading

CMS issues 2018 Medicare physician fee schedule final rule and MACRA physician QPP final rule

On November 2, 2017, the Centers for Medicare & Medicaid (CMS) Services issued its Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) final rule.  The overall update to payments under the MPFS in 2018 will be +0.41 percent.  The 2018 MPFS conversion factor will be $35.99, an increase from $35.89 in 2017.  MPFS payment … Continue reading

Senate Republicans unveil health care reform bill; CMS proposes updates to the Quality Payment Program

On June 22, U.S. Senate Majority Leader Mitch McConnell unveiled the draft Senate health care reform bill, the Better Care Reconciliation Act of 2017. Earlier today, Senate Republican leadership released a new discussion draft. As of this afternoon, Republican leadership reportedly has firm commitments from less than the 50 Senators needed to approve the legislation … Continue reading

MACRA: Advanced APMs and MIPS Replace SGR Effective January 2017

On October 14, 2016, CMS issued the “Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models” final rule with comment period. MIPS and Advanced APMs are the two ways for health care providers to participate in the CMS Quality Payment Program that … Continue reading
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