MGMA Washington Connection 02/22/2024

02/22/2024 8:58 AM | Anonymous

NO SURPRISES ACT UPDATES

The Centers for Medicare & Medicaid Services (CMS) released new data on the implementation of the No Surprises Act (NSA). The number of disputes received by the Departments in the first half of 2023 was 13 times higher than the amount projected for the entire year.

CMS also confirmed that all applicable extensions for IDR dispute submissions following temporary closures of the IDR portal will end on March 14, 2024. The agency clarified that, effective March 14, “initiating parties who submitted a batched dispute before August 3, 2023, and received notification from a certified IDR entity that the dispute was improperly batched will have the standard 4-business-day period to resubmit, instead of the existing 10-business days.”

An updated version of MGMA’s 'Implementing the No Surprises Act' resource is now available to members containing new information following court decisions and various rulemaking.

MIPS 2023 DATA SUBMISSION WINDOW

The MIPS data submission window is open for the 2023 performance year for MIPS eligible clinicians. You can submit and update your data until 8 p.m. ET on April 1, 2024; you can’t correct errors after the submission period is over.

Preliminary scoring is no longer available. Previews of your 2023 final score will be available in June 2024 and your 2025 MIPS payment adjustment information will be available in Aug. 2024. Visit CMS' QPP Resource Library page for helpful tools such as the 2023 Traditional MIPS Data Submission User Guide.

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