In this webinar, attorneys Robert Liles and Paul Weidenfeld will discuss EKRA, the Anti-Kickback Statue and State All Payor Rules along with steps your practice should take to stay out of trouble. This webinar is scheduled for 60 minutes with a Q and A session to follow.


Join Liles Parker Attorneys Leonard Schneider and Jennifer Papapanagiotou for this webinar, scheduled for 60 minutes with a Q & A session to follow. Registration is free.


August 1, 2019

Commercial Carrier Update

AACE Practice Management has gathered the latest news from commercial carriers to help endocrinologists and their practices. For more information, please e-mail practicemanagement@aace.com.


To help assist endocrinologists and staff, AACE Practice Management has gathered the latest about compliance, audits and areas of risk for your practice. For more information, please e-mail practicemanagement@aace.com.


AACE Practice Management has gathered the latest information for correct coding, coverage determinations and prior authorizations to help in the management of your practice. Take advantage of coding and billing webinars throughout the year from AACE partners Practice Management Institute (PMI) and Liles Parker: click here to learn more. For more information, please e-mail practicemanagement@aace.com.


AACE Practice Management has gathered the latest news from the Centers of Medicare & Medicaid Services to help endocrinologists and their practices. For more information, please e-mail practicemanagement@aace.com.


The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to update payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2020.


The QPP Submissions API will only accept requests and return responses in QPP JSON format. This means that files must be uploaded to the QPP website in either QPP JSON or QRDA III XML.


The Centers for Medicare & Medicaid Services (CMS) has contracted with Guidehouse to conduct data validation and audits of a select number of Merit-based Incentive Payment System (MIPS) eligible clinicians. Data validation and audits are processes that will help ensure MIPS is operating with accurate and useful data. MIPS eligible clinicians, groups and virtual groups are required by regulation to comply with data sharing requests, providing all data as requested by CMS.


JUNE 18–19, 2019 | 1:00-3:30 pm ET | These interactive training webinars by the Centers for Medicare & Medicaid Services are stand-alone events covering Medicare Program basics. You aren’t required to attend both days, and space is limited.


The Centers for Medicare and Medicaid Services (CMS) has posted the following new resources to the Quality Payment Program (QPP) Resource Library, including the 2019 MIPS Eligibility Decision Tree, specialty guides, and eligibility redetermination fact sheet.


The Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) seeking new ideas from the public on how to continue the progress of the Patients over Paperwork initiative. Since launching in fall 2017, Patients over Paperwork has streamlined regulations to significantly cut the “red tape” that weighs down our healthcare system and takes clinicians away from their primary mission—caring for patients. 


The Quality Payment Program (QPP) is creating more ways for developers to build software that integrates directly with CMS applications and data. As part of that initiative, the Quality Payment Program Developer Tools now includes information on how to programmatically interact with eligibility data via the Eligibility Application Programming Interface (API).


CR 11003 introduced the enrollment process for the providers who intend to get their Additional Documentation Request (ADR) letters electronically (as eMDR) through their registered Health Information Handler. Make sure your billing staffs are aware of these changes.


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.