To schedule an upgrade to version 8.2.5, contact the Meridian Support team via email at CT-Supportdept@m3meridian.com, by phone at 800.327.0955, or by entering an Mtrak ticket. This latest release includes workflow efficiencies, regulatory requirements, and client requested enhancements such as those listed here: Client Center Dissolution – For those clients currently utilizing the Client Center, the information obtained on the Client Center will be incorporated and available within VertexDr. MIPS – System previously compliant for MIPS tracking and reporting....

CMS announced this week, they are currently reviewing claims and notifying practices regarding which clinicians need to take part in the new Merit-based Incentive Payment System (MIPS). MIPS is part of the new Quality Payment Program (QPP) that went into effect January 1, 2017. The new quality program intends to shift reimbursement from the volume of services provided toward a payment system that rewards clinicians for providing quality care to patients. It replaces the Sustainable...

Section 218(b) of the Protecting Access to Medicare Act of 2014 added section 1834(q) directing CMS to establish a program to support the use of an appropriate use criteria (AUC) before ordering advanced diagnostic imaging services for Medicare patients. In this section of the Act, AUC are defined as criteria that are evidence-based (to the extent feasible) and assist professionals who order and provide applicable imaging services to make the most appropriate treatment decisions for...

If you are a group with 25 or more physicians and anticipate utilizing the CMS Web Interface and/or administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for the MIPS survey you have until June 30, 2017 to register. Registration opened on April 1, 2017. To register visit the Quality Payment Program website at https://qpp.cms.gov/learn/about-group-registration Under the new Merit-Based Incentive Payment System (MIPS), groups are defined as a single Taxpayer Identification Number (TIN) with two...

NGS Part B providers are being informed of an upcoming change to Evaluation and Management documentation expectations for expanded problem focused and detailed exams. This change will take effect on July 1, 2017. Currently the documentation requirements for both expanded problem focused and detailed exams are the same: 2 – 7 body areas or organ systems. This has caused considerable confusion within the provider community. The table below outlines the current requirements and clarifies the requirements on...

With the new CPT code set for 2017, came changes to the codes for diagnostic and screening mammography. Prior to 2017, two codes were needed to report diagnostic or screening mammography. Effective 1/1/2017, there are now just three codes which include computer-aided detection (CAD) when performed. Codes 77051, 77052 and 77055 -77057 were deleted. United Healthcare updated their Breast Imaging policy on 1/13/2017 to include CAD when performed for diagnostic and screening mammography. These changes went into...

CMS declines to revisit CT colonography coverage By Eric Barnes, www.AuntMinnie.com staff writer December 15, 2016 -- In a stunning year-end setback for screening CT colonography, the U.S. Centers for Medicare and Medicaid Services (CMS) has turned down a request by advocates for CT colonography to reconsider its 2009 decision not to pay for the imaging-based colon cancer screening exam. The American College of Radiology (ACR) said it has been informed by CMS that the agency would not...

2017 is right around the corner and like every New Year we have CPT changes to review. Attached is a spreadsheet containing new/deleted codes that correspond with the chapters in the CPT manual.  The spreadsheet is tabbed by specialty or system where applicable.  This should make it easier for you to determine new and deleted codes specific to your specialty. There is also a tab for revised codes which includes a column outlining the revisions. Moderate...

January 1, 2017, is rapidly approaching and the Centers for Medicare and Medicaid Services (CMS) will be rolling out their new Quality Payment Program, specifically the Merit-Based Incentive Payment System (MIPS) and the Advanced Payment Models (APM). This year, 2016, is the last reporting period for the Physician Quality Reporting System (PQRS) as it currently exists. MIPS and APMs will go into effect January 1, 2017. The first payment adjustment based on this reporting period will...

Your ConnectiCare patients with commercial and Medicare Advantage plans effective on or after Jan. 1, 2017, will have new member ID cards. We will also be issuing new member ID numbers to all of your ConnectiCare Medicare Advantage patients. The redesigned member ID cards will make it easier for your office to identify the different product names, copayments and where you should send your claims for payment. It will also clearly note whether referrals are needed...