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Having made allowances in Quality Payment Program (QPP) reporting for practices affected by recent natural disasters, CMS is now giving Medicare accountable care organizations (ACOs) a similar break in both their QPP reporting and in their Shared Savings program scoring.

 

At this writing the House of Representatives has passed the Republican tax bill containing a repeal of the Obamacare individual mandate; the Senate and President Trump are expected to make the bill law this week. We asked Robert F. Atlas, strategic advisor and president of EBG Advisors, Inc. in Washington, D.C., what happens with the ACA now.

Medical practices that run labs are in for fluctuating reimbursement come Jan. 1, with 897 lab codes in line for a 10% dip in payment and another 109 codes seeing a pay boost of 10% or more.
The therapy cap exception process – due to expire at the end of this year – may be extended permanently, though physicians may be paying for it with reductions to their Medicare fees.
The new National Correct Coding Initiative (CCI) manual contains an early holiday treat for anyone who wants to know more about bilateral services, medically unlikely edits (MUEs), and how the two interact.

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