Your 2018 MIPS performance feedback and final score from the CMS are now available on the Quality Payment Program website. To learn more about performance feedback, view the frequently asked questions document from the CMS. The payment adjustment you will receive in 2020 is based on your score for the 2018 performance year. If you…
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….
New Wins, Ongoing Challenges for ACR Insurance Subcommittee
Corrections to reimbursement system errors with Aetna and a Medicare contractor demonstrate the latest wins for all providers by the ACR’s Insurance Subcommittee. But the committee remains hard at work advocating for rheumatologists on several fronts.
All in One Setting: Integrated Team-Based Care for Autoimmunity
Rheumatologists, behavioral specialists, pharmacists and other healthcare professionals are working in the Autoimmunity Institute at Allegheny Health Network, Pittsburgh, to care for the whole patient…
Medicare Patient Costs Lower at Teaching Hospitals
NEW YORK (Reuters Health)—The overall 30-day costs of caring for Medicare patients are lower at teaching hospitals, according to data from the Medicare inpatient file. “We found it really interesting that the lower costs seen at major teaching hospitals was driven primarily by lower costs after discharge from the hospital,” Dr. Laura G. Burke from…
Navigating a Path to Success: Practice Management at 2019 ACR/ARP Annual Meeting
Join us in Atlanta Nov. 8–13 for the 2019 ACR/ARP Annual Meeting. Member registration is now open, including registration for the annual pre-meeting practice management workshop: Practice Matters—Navigating a Path to Success! (General registration opens June 26.) The 2019 workshop will focus on key practice matters. The goal of the pre-meeting workshop is to address…
Coding Corner Answers: An Audit Record Request Quiz
Take the challenge. C—When an insurance carrier requests the medical record for a service performed, the practice should send all pertinent information to support the medical necessity of that service. For example, if the drug requires that a patient first be tested for tuberculosis and the patient should be on methotrexate or leflunomide, the note…
Coding Corner Questions: An Audit Record Request Quiz
A private insurance carrier sends an audit request letter to a rheumatology practice to review its infusion medical records for the past 30 dates of service. What information should the practice send to the carrier? Only the infusion notes The complete notes for the requested dates of service only The complete notes for the requested…
Practice Management Workshop at the 2019 ACR/ARP Annual Meeting
Join us in Atlanta Nov. 8–13 for the 2019 ACR/ARP Annual Meeting. Member registration is now open, including registration for the annual pre-meeting practice management workshop: Practice Matters—Navigating a Path to Success! The 2019 workshop will focus on key practice matters. The goal of the pre-meeting workshop is to address how best to manage your…
Advanced Practice Providers Should Learn Musculoskeletal Ultrasound
I have worked as an advanced practice provider (APP) in pediatric rheumatology for nearly 16 years. My collaborating physicians have allowed me to function to the full extent of my scope of practice while allowing me to develop professionally within the subspecialty. My latest endeavor has been learning how to perform musculoskeletal ultrasound (MSUS) and…
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