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Medicare is requiring a minimum of 75 MIPS Performance points for the 2025 Performance Period to avoid a negative payment penalty in 2027. OfficeEMR MIPS Assist 2025 Program It is becoming increasingly harder to avoid a negative payment pena...
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Practices with more than 1 eligible clinician will need to determine whether they wish to report as individuals or as a group. An individual clinician submits measures and activities for the practice(s) (identified by TIN) in which the clinician i...
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CMS has defined and automatically assigns special statuses to MIPS eligible clinicians, practices, virtual groups, and APM entities who meet certain criteria. These special statuses are as follows: Ambulatory Surgery Center (ASC)-based; Hospita...
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The Bypass Claim screen can be found in the Reports portal under the Billing category on the navigation bar. This screen by default will open with the Advanced Search menu. This screen will display details from the claims on which the custom proc...
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Open the Reports Portal in the lower left corner. In the left-hand side on the navigation pane, choose the Bypass Claim from the Billing section. ...
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The Bypass Claim Report is used to view claims where the custom procedure code validation rules have been bypassed. The report supports claim drill-down allowing the managers and admins to view the claims where the rules where bypassed to better und...
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The EPA Processor setting is used in conjunction with the CoverMyMeds ePA integration. This setting or the Company Setting equivalent can be used to guide the medication prior authorization workflow by dictating the default processor for the ePA t...
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The " Override Loop 2320 SBR09 " company setting allows a practice to set the source of pay to Medicare Part B when the secondary payer is payer ID SKKY0 (Kentucky Medicaid) and the primary payer has a Medicare Replacement flag Defau...
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The EPA Processor setting is used in conjunction with the CoverMyMeds ePA integration. This setting or the User Setting equivalent can be used to guide the medication prior authorization workflow by dictating the default processor for the ePA ta...