New Resources are Now Available on the QPP Resource Library

  • Nov 10, 2021

Merit-based Incentive Payment System (MIPS) Performance Year (PY) 2020 2020 MIPS Performance Feedback Frequently Asked Questions (FAQs) (PDF): Answers FAQs about the QPP 2020 performance feedback and 2022 payment adjustment. 2022 MIPS Payment Year Payment Adjustment User Guide (PDF): Shares details regarding the 2022 payment adjustments based on MIPS Final Scores for PY 2020. 2020 Targeted...

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CMS Makes Merit-Based Incentive Payment System Updates Following Physician Concerns

  • Nov 10, 2021

The Centers for Medicare & Medicaid Services is making updates to a popular Quality Payment Program amid “prevailing concerns” from the physician community. CMS just recently released final scores and feedback on provider performance in the Merit-based Incentive Payment System. During the regular review period, clinicians alerted the agency about two errors as part of the process, according...

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AMA Adds CPT Codes for Pediatric COVID-19 Vaccine Candidate

  • Nov 10, 2021

Oct. 27, 2021: Accepted a Category I code to report SARS-CoV-2 vaccine and immunization administration codes. Code 0034A will be used to report Janssen booster vaccine and immunization administration. Appendix Q has been updated to reflect this addition. This code was published on Oct. 27, 2021 and was effective Oct. 20, 2021. Oct. 6, 2021: Accepted three Category I codes to report SARS-CoV-2...

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Newsom Signs Bills to Broaden Std Testing, Hepatitis Screenings

  • Nov 10, 2021

Synopsis: STD Coverage and Care Act SB 306, the STD Coverage and Care Act, will require health plans to cover at-home test kits for HIV and STDs; update California's Expedited Partner Therapy statute to include provider liability protections used in other states; permit HIV counselors to administer rapid STD tests; and require syphilis screening during both the first and third trimester of...

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Florida Imposes Criminal Penalties for Improper Processing of DNA

  • Nov 10, 2021

Florida recently passed a law governing DNA samples. The Act places several restrictions on the use, retention, and sharing of DNA samples. Those that violate the Act may face criminal liability. Requirements under the law: Requirements under the Act are tied to “DNA samples” which include any human biological specific from which DNA can be extracted or the extracted DNA. To process a...

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California Expands Privacy and Security Requirements for Genetic Data

  • Nov 10, 2021

With health-related data and how to protect it at the forefront of discussion since the start of the COVID-19 pandemic, this week California Governor Gavin Newsom signed into law two bills related to genetic data. First, AB 825, will expand the definition of personal information to include genetic data, for data breach notification requirements for businesses and government agencies, as well as...

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Biden Administration Advances New Protections against Surprise Medical Bills

  • Nov 10, 2021

The Biden Administration, through the Departments of Health and Human Services, Labor and Treasury, and the Office of Personnel Management, has issued an interim final rule with a comment period to further implement the No Surprises Act, introducing a dispute resolution process for self-pay patients and the uninsured. This rule details a process that aims to take patients out of...

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Outdated Hospital Billing Practices Present Challenge to Meeting New Debt Collection Rules

  • Nov 10, 2021

Under a new Consumer Financial Protection Bureau law that takes effect Nov. 30, debt collectors are required to provide people a clear description of the debt owed and to whom they owe it, as well as provide a debt validation notice. Debt collectors rely on their clients, like hospitals and medical providers, to provide this information. According to the report, it likely will be harder for debt...

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