New CMS RADV Changes: What RCMA Members Need to Know The Centers for Medicare & Medicaid Services (CMS) has announced important updates to its Risk Adjustment Data Validation (RADV) audit process. (Access full press release here) These updates are designed to strengthen the accuracy of diagnosis documentation for Medicare Advantage (MA) patients and will increase audit activity in the coming months July 29, 2025 Medicare, Member Benefits, RCMA/CMA, Resources 0 0 Comment Read More »
Physicians React to Congress' Plan to Cut Medicare Payments by 2.5% in 2023 Medicare physicians will face a 2.5% payment cut in 2023, under the year-end omnibus legislation unveiled this week by Congress. A vote is expected by Friday to avoid a government shutdown. December 22, 2022 California Legislation, Federal Legislation, Legislation, Medicare, Practice Management, RCMA, RCMA/CMA, Resources, Riverside County Community medicare, medicare cuts 2023, RCMA Medicare Update, riverside county medical association 0 0 Comment Read More »
CMS to Apply MIPS Automatic Extreme and Uncontrollable Circumstances Policy for the 2021 Performance Year in Response to COVID-19 Public Health Emergency The Centers for Medicare & Medicaid Services (CMS) is applying the Merit-based Incentive Payment System (MIPS) automatic extreme and uncontrollable circumstances (EUC) policy to ALL individually eligible MIPS eligible clinicians for the 2021 performance year (PY). November 16, 2021 Medicare, Resources Claims, CMS, COVID-19, MIPS, QPP, Quality Payment Program 0 0 Comment Read More »
CMS Issues Guidance Amid COVID-19 Response Centers for Medicare and Medicaid Services (CMS) and Congress work together to combat the COVID-19 public health emergency and to assist ACOs. March 18, 2020 Coronavirus, Medicare, Public Health Alert, Resources CMS, COVID-19, COVID-19 Response, NAACOS 0 0 Comment Read More »
MIPS 2019 Data Submission Period Open until March 31, 2020 MIPS Eligible Clinicians Can Start Submitting Data for 2019 through March 31 January 2, 2020 Medicare, Resources Medcare, MIPS, Quality Payment Program 0 0 Comment Read More »
Nondiscrimination Statement Posting Physicians who provide services to Medicare or Medi-Cal patients must comply with new nondiscrimination posting requirements effective October 16th. October 31, 2016 Medi-Cal, Medicare, Practice Management, Resources Languages, Medical, Medicare, Nondiscrimination Posting 0 0 Comment Read More »
2015 Meaningful Use Exception Deadline: July 1, 2016 Because of a delay in the publication of regulations governing the Medicare meaningful use program, CMS is allowing eligible physicians and hospitals to apply for an exception under the “extreme and uncontrollable circumstances” category. January 27, 2016 Health Information Technology (HIT), Legislation, Medicare, Resources Meaningful Use 0 0 Comment Read More »
RCMA/CMA Works with CMS to Mitigate Medicare ICD-10 Disruptions With implementation of the ICD-10 code set just around the corner, many physicians have been understandably wary about the transition and the potential for payment disruptions and claims processing errors that could interfere with patient care. Fortunately, the California Medical Association (CMA) – working closely with the American Medical Association (AMA) and other medical associations – has secured provisions that will ease this transition, particularly for physicians in practices with limited resources. July 10, 2015 ICD-10, Medicare, Resources Grace Period, ICD-10, CMS, Medicare 0 0 Comment Read More »
Medicare Eligible Professionals: Take Action by July 1 to Avoid 2016 Medicare Payment Adjustment Medicare Eligible Professionals: Take Action by July 1 to Avoid 2016 Medicare Payment Adjustment June 12, 2015 Health Information Technology (HIT), Medicare, Resources 0 0 Comment Read More »
It's Finally Over! The Medicare SGR is Dead! Last night the Senate approved H.R. 2: The Medicare SGR Reform and the Children’s Health Insurance Reauthorization Act which repeals Medicare’s sustainable growth rate formula, hours before double-digit payment cuts to physicians were set to take effect. The bill has been sent to the White House where President Obama is expected to sign it into law. April 15, 2015 Federal Legislation, Legislation, Medicare, Resources Boxer, H.R.2., Repeal, SGR, AMA, CMA, Cuts, Feinstein, Medicare, RCMA 0 0 Comment Read More »
