Sidestep 5 High-Risk Behaviors That Heighten MIPS Scrutiny
Tip: Auto-population often leads to inaccuracy — and audit.
Merit-Based Incentive Payment System (MIPS) measures that don’t meet threshold requirements followed up by lackluster supporting documentation are risky actions and may cause you to fail a MIPS audit. However, some practices skirt the rules to boost their chances of an incentive — and that’s fraud.
“Overall, CMS is looking for instances of fraud, waste, and abuse of this system,” warns Lora Woltz, ONC HIT certification manager in the Eye Care Leaders April 25 webinar, “Bulletproofing the MIPS Audit File.”
“If they suspect...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: