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We propose to establish a methodology for excluding payment amounts for HCPCS and CPT codes exhibiting significant, anomalous, and highly suspect billing activity during CY 2024 or subsequent calendar years that warrant adjustment
We developed several standard building block methodologies to value services appropriately when they have common billing patterns
We are proposing to sunset the requirement that ACOs must submit quality data via the APP to satisfactorily report on behalf of the eligible clinicians who bill under the TIN of an ACO participant for purposes of the MIPS Quality performance category of the Quality Payment Program, and to revise 425.508(b) to indicate that the requirement will be applicable for performance years beginning in 2021-2024
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