The American Gastroenterological Association compiled tips for physicians to help them avoid paying a penalty related to CMS' 2017 Quality Payment Program.
Although it is past the deadline for a physician to receive a payment incentive, there's still time for a gastroenterologist to avoid paying a penalty.
The AGA said gastroenterologists can avoid a 4 percent quality payment program violation in 2019 if they report one measure for one patient.
These steps correlate to Quality Measure No. 185 "Colonoscopy Interval for Patients with a History of Adenomatous Polyps — Avoidance of Inappropriate Use:"
1. Complete boxes 1 through 20 on CMS form 1500.
2. In box 21, the physician must enter the proper ICD-10 diagnosis code(s) for each diagnosis and CPT or HCPCS procedure code for a selected patient.
3. In box 24D, a physician should enter QDC code 185.
4. In box 24F, a physician should enter a line-item charge of $0.1 for the QDC 185 code in box 24D.
5. Physicians should complete boxes 25-33.
6. Physicians should submit the claim through a Medicare claims submitter.
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