MIPS 2019: Commenting on the Proposed Rule, Overview of the 2019 MPFS Proposed Rule, 2017 MIPS Feedback Reports are Available


MIPS 2019: Commenting on the Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) released the Proposed Rule for 2019 and practices are encouraged to comment on the changes here.

Although the Proposed Rule states that all comments must be submitted by 5 p.m., Sept. 10, 2018, comments submitted electronically to www.regulations.gov will be accepted until 11:59 p.m. ET.

Practices are strongly encouraged to make their comments known as many of the changes will have a significant impact to practice operations. The entire Proposed Rule can be downloaded at the PDF icon on the above link to the CMS comment page.

 

To read more, see here.

 

Overview of the 2019 MPFS Proposed Rule: Evaluation and Management Codes

Some of the biggest changes to the MPFS Proposed Rule deal with Evaluation and Management (E/M) Codes. The last big change to E/M codes occurred in January 2010 when the Centers for Medicare & Medicaid Services (CMS) removed consult codes from the Medicare Claims Processing Manual.

CMS is currently focused on its initiative "Patients over Paperwork" that launched in October 2017. CMS believes these changes would increase the amount of time doctors and other clinicians spend with their patients by reducing the amount of Medicare paperwork.

CMS is proposing a new reimbursement methodology for new patient E/M codes level 2-5 (99202-99205) and established patient E/M codes level 2-5 (99212-99215). Beginning in 2019 these services would receive a single flat rate. Their rationale is to eliminate the need to audit against visit levels and reduce the documentation burden. This is not expected to change the documentation requirements for private payers, so back offices will be dealing with two sets of requirements, depending on insurer.

 

To read more, see here.
 

 


2017 MIPS Feedback Reports are Available - Have You Reviewed Yours?

If your practice has not checked your 2017 Merit-based Incentive Payment System (MIPS) Feedback Report, it is suggested you do so as soon as possible.

According to recent reports from the Medical Group Management Association (MGMA), there are issues related to "groups" being improperly assessed as "individual" reporters, despite being acknowledged by the Centers for Medicare and Medicaid Services (CMS) as group reporting at the TIN (Taxpayer Identification Number) level in preliminary feedback. Feedback Reports have replaced the Quality and Resource Use Report (QRUR).

 

To read more, see here.



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