Practice Management Support PRACTICE
Aug 10, 2018

Horizon Reimbursement Policies effective February 25, 2019 will be applied to professional claims for services provided to patients enrolled in fully insured groups and ASO groups that opted in to policy guidelines. Diabetic screening services, duplicate claim logic for independent lab services, lab services billed by physicians are just a few of the policies that may affect endocrinologists. We strongly encourage you to review the content of each policy.

2019 Training Materials for Part D Opioid Policies.

Transition to FAQs on new Medicare numbers and cards.
New Medicare numbers and cards.

Medicare Diabetes Prevention Program Enrollment tutorial webinar offered by CMS, January 9.

NEW and REVISED FNA and UGFNA CPT codes effective for dates of service January 1, 2019. Make sure your coding and billing department is aware of these changes.

MIPS eligible clinicians can start submitting data for 2018 through April 2. Please note, CMS web interface users need to report their Quality Performance category data between January 22 and March 22. Also, for clinicians who reported Quality Measures via Medicare Part B claims throughout the 2018 performance year, we'll receive your quality data from claims processed by your Medicare Administrative Contractor, and claims for services furnished during 2018 must be processed within 60 days after the end of the 2018 performance period.

New resources for the Electronic Clinical Quality Measure Strategy Project (eCQM) from Medicare. This is an expansion of the Electronic Clinical Quality Improvement (eCQI) resource center which includes a Collaborative Measure Development (CMD) work space.