Practice Management Update: New QPP Resources, MACRA PRCs, and more
August 26, 2019

To assist endocrinologists and their support staff, AACE Practice Management has gathered the latest updates in QPP, MACRA and more. For more information, please e-mail practicemanagement@aace.com.

  • United Healthcare will discontinue paying for consultation codes effective October 1, 2019. Learn more here.
  • New resources are available here on the QPP Resource Library website. 
  • The 2019 Quality Payment Program API Developer Preview is now open! It allows third party software developers to integrate with various QPP application programming interfaces and test their development work prior to the submissions window. Learn more.
  • MACRA Patient Relationship Categories (PRCs) and codes facilitate the attribution of patients and care episodes to clinicians who serve patients in different roles as part of the assessment of the cost of care. When tested, the PRCs may be incorporated into the claims-based cost measures, which assess the beneficiary's total cost of care during the year, or during a hospital stay, and/or during eight episodes of care.
    • CMS finalized five patient relationship categories for use in a voluntary reporting period, which began January 1, 2018. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 requires the establishment and use of patient relationship categories and code. Read the FAQ document here. 
    • To learn how to report HCPCS Level II modifiers, read MLN Matters Article MM11259 here
  • Click here to view the revised Chronic Care Management Services Medicare Learning Network Booklet and learn about:
    • Separately payable services for beneficiaries with multiple chronic conditions
    • Physician Fee Schedule billing requirements
    • Practitioner and patient eligibility
    • Service elements
  • The new Medicare Beneficiary Identifier (MBI) Transition Period ends in 5 months! Click here to read more.