ABI recently learned it is not required you report on at least 50% of your 2013 Medicare claims, as originally thought and reported to you, to keep from receiving a reduction in your 2015 Medicare reimbursements. This 50% reporting requirement is only required if you are trying to receive incentive money for PQRS.
HOWEVER, it is required you report a PQRS measure on AT LEAST one Medicare claim, per individual provider, in 2013 to divert the 2015 reduction in your Medicare payments. Therefore, each member of your group will need to submit a PQRS measure on at least one Medicare claim in 2013. There is still a requirement, BUT IT IS NOT TOO LATE!! The format to submit that measure has not changed…
The simplest and most widely used method to report the PQRS measure(s) is via claims; however, you do have other options. Using the claims method, eligible professionals simply include a 5-digit code on each claim they submit to Medicare. You can report this code on a Medicare eligible charge to us. We will affix the code(s) to the claim submitted to Medicare.
It is easy to add these measures to all billings. Simply modify the information you provide your billing office with something similar to the following.
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||
abinsights Contact Information
abinsights readers are invited to submit comments, questions, tips, and suggestions for articles on any subject related to billing, collections, coding, reimbursement, and compliance. Send to: Anesthesia Billing, Inc., P O Box 388, Newton, KS 67114-0388. Phone 316-281-3700. Fax 316-282-4322.
Our purpose is to help you meet inevitable challenges. We hope to deliver practical knowledge and solutions drawn from top resources and business publications in every issue, knowledge you can use today.
Reasonable attempts have been made to be accurate. However, medical billing, collections, coding and compliance are part science, part art, and even experts sometimes differ. Neither Anesthesia Billing, Inc., the editors, publisher, contributors, or consultants warrant or guarantee the information contained will be applicable or appropriate in all situations. For information specific to your practice, consult a qualified professional.
The information included in this publication is provided, among other things, to alert you to legal developments and should not be considered legal advice. Specific questions about how this information affects your particular situation should be addressed to your attorney.
Editor: Philip Blann (pblann@anesthesiabilling.com).
No Comments