News

Palmetta GBA Incorrect Claim Rejections- Group NPI and Rendering Provider NPI Do Not Match

Issue Identified 3/19/2018 Palmetto GBA is aware that certain Jurisdiction J Part B claims rejected incorrectly when the billing (group NPI) and rendering provider (individual NPI) combination were submitted correctly. Affected claims incorrectly rejected with: Claim Adjustment Reason Code CO-16 (Claim/service lacks information or has submission/billing error(s) and Remittance Advice Remark Code N290 (Missing/incomplete/invalid rendering […]

The Providers Role in the New Medicare ID Transition

by Jane Ehrhardt Published: February 14, 2018 in the Birmingham Medical News “The one thing doctors should be doing is making sure their patients have their address correct with Medicare,” says Phillip Allen, billing service manager with MediSYS. “The patient won’t get a new card if their address is not correct.” This simple reminder could […]

Mid-Week MACRA Minute – December 31 DEADLINES

Mid-Week MACRA Minute – December 31 DEADLINES

Helping you put the MIPS pieces together each week! DECEMBER 31st Deadlines: Quality Payment Program (QPP) 2017 Hardship Exception Application for the ACI category Virtual Groups Registration for 2018 MIPS Participation Security Risk Analysis for 2017 MIPS Participation See below for details on each of these deadlines: The Quality Payment Program (QPP) 2017 Hardship Exception […]

Mid-Week MACRA Minute - What is the EMA process?

Mid-Week MACRA Minute – What is the EMA process?

Helping you put the MIPS pieces together each week! MIPS Eligible Measure Applicability (EMA) In 2017, to fully participate in the Quality performance category of MIPS, you will need to report on ONE of the below options: 6 quality measures including at least one required to be an outcome measure – IF an outcome measure is NOT […]

Mid-Week MACRA Minute - Want to learn more about MACRA and MIPS?

Mid-Week MACRA Minute – Want to learn more about MACRA and MIPS?

Helping you put the MIPS pieces together each week! What are some of your MIPS questions? Want more information on the Quality measures? Let us know what you would like to see in our weekly MACRA Minute emails! Questions about MACRA, MIPS, or APMS?  Send us questions and topics to MIPS@medisysinc.com and we will answer your questions […]

Mid-Week MACRA Minute - Final 90 Days of MIPS Performance Starts Soon

Mid-Week MACRA Minute – Final 90 Days of MIPS Performance Starts Soon

Helping you put the MIPS pieces together each week! Final 90 Days of MIPS Performance Starts Soon If you haven’t already started on MIPS, October 1 is the last starting day for the 90-day reporting period requirement! Don’t risk a 4% penalty! Get started before October 1st to optimize your possibility of a higher incentive by reporting 90 days and participating in […]

Mid-Week MACRA Minute - Group vs. Individual Reporting

Mid-Week MACRA Minute – Group vs. Individual Reporting

Helping you put the MIPS pieces together each week! Group vs. Individual Reporting for 2017 MIPS How you choose to report (group vs. individual) will be based on many factors that will impact your overall MIPS performance score! Make sure you are choosing the BEST solution for YOUR practice! Reporting as a GROUP (GPRO): Groups […]

Mid-Week MACRA Minute - Medicaid EHR Incentive Program and MIPS

Mid-Week MACRA Minute – Medicaid EHR Incentive Program and MIPS

Helping you put the MIPS pieces together each week! Medicaid EHR Incentive Program and MIPS – it’s possible you may have to participate in BOTH to continue receiving any remaining Medicaid incentives and to avoid the MIPS penalty! MIPS does not replace the Medicaid EHR Incentive Program. If a provider plans to participate in their […]

Mid-Week MACRA Minute - QPP Hardship Exemption Application

Mid-Week MACRA Minute – QPP Hardship Exemption Application

Helping you put the MIPS pieces together each week! The Quality Payment Program (QPP) 2017 Hardship Exemption Application is NOW OPEN! What do you need to know? MIPS eligible clinicians and groups may qualify for a reweighting of their Advancing Care Information performance category score to 0% of the final score, and can submit a […]