The Quality Payment Program (QPP) Small Practices Newsletter is a monthly resource that provides small practices (15 or fewer clinicians) with program updates, upcoming QPP milestones, and resources to support their continued participation and success in QPP. The newsletter is sent on the 2nd Tuesday of each month.
Small Practices Participating in MIPS: Are You On Track?
Jul 16, 2024 11:35:00 AM / by Practice Support Team posted in MIPS, medicare, quality payment program, practice management
Medical Records Request Scam: Watch out for Phishing
Jun 26, 2024 2:15:00 PM / by Practice Support Team posted in medicare, practice management, CMS, phishing, fraud
CMS identified phishing scams for medical records. This may include scammers faxing you fraudulent medical records requests to get you to send patient records in response; see example (PDF).
Cognitive Health: Medicare Covers Services
Jun 25, 2024 2:14:00 PM / by Practice Support Team posted in medicare, memory, practice management, aging, cognitive impairment
Opioid Use Disorder Screening and Treatment
May 14, 2024 1:12:00 PM / by Practice Support Team posted in Primary Care, medicare, screening, opioid use disorder, Medicare advantage
Medicare pays for opioid use disorder (OUD) screenings performed by physicians and non-physician practitioners. If you diagnose your patient with OUD, they also pay for treatment services.
April 16: National Healthcare Decisions Day
Mar 26, 2024 4:00:00 PM / by Leslie D McDowell, DNP, ANP-BC, RN posted in Primary Care, medicare, advance care planning, conversation
National Healthcare Decisions Day exists to inspire, educate and empower the public and providers about the importance of advance care planning. It is an initiative to encourage patients to express their wishes regarding healthcare and for providers and facilities to respect those wishes, whatever they may be. (Source: https://theconversationproject.org/nhdd/)
Social Determinants of Health Risk Assessment: CMS finalizes G code
Feb 27, 2024 8:28:00 AM / by Practice Support Team posted in Social Determinants of Health, medicare, health equity
Today we bring you some news from the Center for Medicare and Medicaid Services (CMS) 2024 Physician Fee Schedule Final Rule. CMS has finalized a new stand-alone G Code (G0136) to pay for administering an SDOH risk assessment, no more than once every 6 months:
G0136: Administration of a standardized, evidence-based SDOH assessment, 5-15 minutes, not more often than every 6 months.
New CPT Codes for RSV Vaccine Administration
Feb 12, 2024 10:47:22 AM / by Practice Support Team posted in Primary Care, Vaccines, medicare
The Center for Medicare and Medicaid Services (CMS) retroactively added two new CPT codes for respiratory syncytial virus (RSV) vaccine administration to the Medicare Physician Fee Schedule files effective for dates of service on and after October 6, 2023.
G2211: Have You Heard?
Jan 15, 2024 9:59:00 AM / by Practice Support Team posted in Billing, Primary Care, medicare, practice management
Did you know?
The typical primary care physician caring for Medicare patients must coordinate care with 229 other physicians working in 117 practices?
The 2024 Final Rule from CMS (Center for Medicare and Medicaid Services) established a new code to ensure Primary Care Providers receive additional payment for the high-value visits they provide.
Time to Submit 2023 MIPS Data!
Dec 28, 2023 9:00:00 AM / by Practice Support Team posted in MIPS, medicare, practice management, CMS
The Centers for Medicare & Medicaid Services (CMS) opened data submission for Merit-based Incentive Payment System (MIPS) eligible clinicians who participated in the 2023 performance year of the Quality Payment Program (QPP) on January 2, 2024. Data can be submitted and updated until 8:00 p.m. ET on April 1, 2024.
CMS Accepting MIPS Exception and Hardship Applications Through January 2, 2024
Nov 15, 2023 8:04:00 AM / by Practice Support Team posted in MIPS, medicare
If you have been affected by extreme and uncontrollable circumstances (rare events entirely outside of your control) you may apply to reweight any or all MIPS performance categories.