2021 MIPS Final Score Preview Now Available

The Centers for Medicare & Medicaid Services (CMS) has opened the Final Score Preview period for the Merit-based Incentive Payment System (MIPS). Authorized representatives of practices, virtual groups, and Alternative Payment Model (APM) Entities can now sign into the Quality Payment Program (QPP) website to preview 2021 MIPS final scores. The MIPS Final Score Preview …

Cybercrime, and specifically Ransomware, is growing at alarming rates

Cybercrime, and specifically Ransomware, is growing at alarming rates impacting organizations around the world It is anticipated by 2025, Global cybercrime damage costs are expected to reach $10.5 trillion From approx. $325 million in 2015 we have now reached approx. $20 billion in 2021. It has been predicted that in 2021 every 11 seconds a …

CMS Recently launched a redesigned website

The Centers for Medicare & Medicaid Services (CMS) recently launched a redesigned data.cms.gov website  that makes it easier to discover, access, and understand CMS data. Click here: data.cms.gov Click here: Data API-Application Programming Interface Data.cms.gov gives you direct access to public data released by CMS. Reference: CMS.gov Data.cms.gov  

CMS Proposes Rule to Increase Price Transparency, Access to Care, Safety & Health Equity

CMS is proposing actions to address the health equity gap, ensure consumers have the information they need to make fully informed decisions regarding their health care, improve emergency care access in rural communities, and use lessons learned from the COVID-19 pandemic to inform patient care and quality measurements. Click Here for Proposed Rule Click Here …

HHS Announces Rule to Protect Consumers from Surprise Medical Bills

Today, the Biden-Harris Administration, through the U.S. Departments of Health and Human Services (HHS), Labor, and Treasury, and the Office of Personnel Management, issued “Requirements Related to Surprise Billing; Part I,” an interim final rule that will restrict excessive out of pocket costs to consumers from surprise billing and balance billing. Surprise billing happens when …

QPP Performance Information Now Available

2019 Quality Payment Program (QPP) Performance Information Now Available on Care Compare The Centers for Medicare & Medicaid Services (CMS) has added new Quality Payment Program performance information for doctors, clinicians, groups, and Accountable Care Organizations (ACOs) to the Doctors and Clinicians section of Medicare Care Compare and in the Provider Data Catalog (PDC).  Click Here for More …

Temporary Claims Hold Pending Congressional Action

Tuesday March 30, 2021 Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension In anticipation of possible Congressional action to extend the 2% sequester reduction suspension, we instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without …

COVID-19 Vaccine Codes- Updated Effective Date for Pfizer-BioNTech

COVID-19 Vaccine Codes: Updated Effective Date for Pfizer-BioNTech On December 11, 2020, the U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Pfizer-BioNTech COVID‑19 Vaccine for the prevention of COVID-19 for individuals 16 years of age and older. Review Pfizer’s Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers) regarding the …

Throat cancer could be predicted up to eight years before it appears

Throat cancer could be predicted up to eight years before it appears thanks to a genetic test developed by scientists. DNA testing ‘can predict throat cancer up to eight YEARS’ in advance for patients with pre-cancerous condition that causes acid reflux, study finds References: DNA Testing Oesophageal Cancer