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    In the News ...

    2017 MIPS Claims Data Performance Scores Now Available on QPP Website
    Blog: In the News ... | Posted By: Amanda Shiber | Released: February 15, 2018, 9:41 am

    If you submitted quality data via claims for the 2017 reporting year, you may now view your performance scores at: https://qpp.cms.gov/login by using the data submission feature.

    Submitting Quality Performance Data via Claims

    If you’ve already submitted quality data via claims, you don’t have to t

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    New United Opioid Coverage Policy
    Blog: In the News ... | Posted By: Mishael Azam, Esq. | Released: February 8, 2018, 12:35 pm

    New to Therapy Short-Acting Opioid Supply and Daily Dose Limits for UnitedHealthcare Community Plan and UnitedHealthcare Commercial Plans – Effective March 1, 2018. 

    Beginning March 1, 2018, UnitedHealthcare Community Plan in some states and UnitedHealthcare commercial plans will implement a short-

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    State Adopts Rules on Health Claims Processing & Payment Act
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: February 8, 2018, 11:55 am

    The Department of Banking & Insurance adopted regulations implementing the Health Claims Authorization Processing & Payment Act (HCAPPA) which was passed in 2006. MSNJ filed comments joined by the NJ Association of Osteopathic Physicians & Surgeons, NJ Society of Interventional Pain Physicians, New

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    DOJ Seeks More Information on Proposed CVS-Aetna Merger
    Blog: In the News ... | Posted By: Melinda Martinson, Esq. | Released: February 8, 2018, 11:36 am

    On February 1, the Department of Justice made a second request for information concerning CVS’s attempt to merge with Aetna to create an integrated health system. Those who attended MSNJ’s last Policy & Strategy Panel meeting heard potential anti-trust concerns from the AMA which is carefully analyz

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    Medicare Mammography Payment Issue
    Blog: In the News ... | Posted By: Amanda Shiber | Released: February 1, 2018, 7:46 am

    Practices that perform mammography are urged to review their Medicare claims dating back to October 1, 2017 to ensure proper payment. There was a system edit, causing the rejection of mammography claims using new, more specific ICD-10 codes. The edit has now been deactivated and these claims may be

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