CMS Now Conducting 2017 & 2018 MIPS Data Validation Audit

CMS has begun data validation and audit for 2017 and 2018 MIPS performance years. Providers/practices selected for the audit will be notified via certified mail or email and will have 45 days from the date of notice to provide the requested information. For more information regarding the data validation criteria, visit the CMS Resource Library.

If your practice is selected for an audit, you are encouraged to share your experience with the ACR. We will use this information to identify challenges faced by audited practices and share concerns with or request changes to CMS. You can reach the ACR at [email protected].

The ACR highlights essential information for providers for 2022 MIPS reporting in the 2022 Medicare Physician Fee Schedule Final Rule, published Nov. 2.

Hundreds of rheumatology providers across the country are finalizing submissions for the first year of reporting under the Merit-Based Incentive Payment System (MIPS). According to a presentation at the 2017 ACR/ARHP Annual Meeting in San Diego, providers that participate in and submit through the Rheumatology Informatics System for Effectiveness (RISE) Registry are poised to perform…

The ACR highlights essential policy and reporting changes to the Quality Payment Program for performance year 2023 and beyond. Key changes include policies regarding the development of new MIPS Value Pathways and refinement of subgroup participation.

For a provider of healthcare services, payer audits are always a possibility. Both government and private payers consistently monitor providers to prevent fraud, overpayment, and improper billing or coding procedures. Audits can be nerve-racking and intimidating, even if a provider is billing correctly. Improper billing can lead to civil and criminal sanctions. To alleviate some…

CMS Now Conducting 2017 & 2018 MIPS Data Validation Audit

2022 PFS Final Rule for the Quality Payment Program Published

Providers Using RISE Have Advantage with 2017 MIPS Reporting

2023 Medicare Physician Fee Schedule Final Rule for Quality Payment Program Published

Different Payer Audits Require Different Preparation & Response

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