Arlington, Va. – The U.S. Senate has approved legislation that will improve the delivery of benefits to America’s veterans, bringing them one step closer to gaining further access to the essential services provided by doctors of chiropractic (DCs) at major Department of Veterans Affairs (VA) medical centers. S. 1203, the 21st Century Veterans Benefits Delivery Act, passed under unanimous […]

CMS Extends Deadline for Physician Quality Reporting System (PQRS) Informal Review Process CMS is extending the 2014 Informal Review period. Individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, PQRS group practices, and Accountable Care Organizations (ACOs) that believe they have been incorrectly assessed the 2016 PQRS negative payment adjustment now have until11:59 p.m. Eastern Time […]

2016 PQRS Negative Payment Adjustment and the Informal Review Process In 2016, CMS will apply a negative payment adjustment to individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, and group practices participating in the Physician Quality Reporting System (PQRS) group practice reporting option (GPRO) (including Accountable Care Organizations [ACOs]) that did not satisfactorily […]

Payer News & Updates Additional resources are available on Aetna’s provider education website at: www.aetnaeducation.com. A list of Aetna’s ICD-10 reject codes are: C34 – The ICD-9 or ICD-10 procedure code is invalid; C35 – ICDprocedure code is a mixed code set-ICD-9/ICD-10; C36 – ICD-9 code set is submitted. Anthem’s EDI ICD-10 Edits Communications – a list of ICD-10 related edits by transaction […]