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Posts tagged "Medicare Reimbursement"

MIPS Performance Optimization: How to Score Well in All Four Categories, Avoid Payment Penalties

January 15, 2026 / Alex J. Lau / Billing
Young doctor looking to maximize his MIPS

The Merit-Based Incentive Payment System (MIPS) determines annual Medicare reimbursement adjustments for nearly 800,000 eligible clinicians through a four-category scoring framework. Quality performance accounts for 30% of the final score, Cost accounts for 30%, Promoting Interoperability accounts for 25%, and Improvement Activities accounts for the remaining 15%. Final scores translate directly into payment adjustments applied […]

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Medicare Reimbursement, MIPS, Promoting Interoperability, Quality Reporting, Value Based Care

How Does Medicare Reimbursement Work for Toxicology Testing?

April 5, 2024 / Alex J. Lau / Medical Billing, Toxicology Testing
Toxicology Test Reimbursement

Let’s talk about getting reimbursed by Medicare for toxicology tests, those tests that check for drugs or other harmful substances in someone’s body. It can be a confusing process with lots of rules and hoops to jump through. I’m going to break it down simply so you know what to expect. Understanding Medicare Coverage for […]

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Advanced Beneficiary Notice, Medicare Coverage for Toxicology Tests, Medicare Reimbursement, Toxicology Billing

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    Credentialing Onboarding for New Providers: A Practice Manager’s Guide

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  • AI Scribes Changing Medical Coding and Billing

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  • Net Collection Rate, analyzed by analyst

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  • Modifier 96 versus Modifier 97

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