The following information is provided by Novitas Solutions.
Immediate Action Needed for Groups with 10 or More Eligible Professionals to Avoid Automatic Medicare Payment Reductions in CY 2016
The deadline for groups to register to participate in the 2014 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) is September 30, 2014, 11:59 pm EDT. Groups with 10 or more eligible professionals can avoid the automatic negative two percent (-2.0%) Value Modifier payment adjustment in CY 2016 by participating in the PQRS GPRO in CY 2014 and meeting the satisfactory reporting criteria to avoid the CY 2016 PQRS payment adjustment. If these group practices do not participate in the PQRS GPRO in CY 2014, then they can avoid the automatic -2.0% Value Modifier payment adjustment in CY 2016 if the eligible professionals in the group participate in the PQRS as individuals and at least 50% of the eligible professionals meet the requirements to avoid the CY 2016 PQRS payment adjustment. Additional information about these requirements can be found at: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeedbackProgram/Self-Nomination-Registration.html.
Instructions for Denied Polysomnography Services Claims
Please disregard demand letters for Polysomnography services associated with the Office of Inspector General (OIG) report OEI-05-12-00340. Activities are underway to re-examine these denials. Please do not submit appeals for these overpayments as all denials will be reversed. Any monies collected to date will be refunded, including interest.
September 2014 Part B Medicare Report
The September 2014 Part B Medicare Report is now available. Please take a few moments to review.
