CMS announced an error in the implementation of the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment; it incorrectly applies payments for Medicare Part B drugs and other non-physician services billed by physicians. Accordingly, adjustments to impacted claims will occur in the near future. Some Kentucky practices are currently reporting they are receiving recoupment letters from their MAC.

If CMS overpaid a claim based on this error, you will receive a notification for recoupment from your Medicare Administrative Contractor (MAC). If CMS underpaid a claim, it will be adjusted. It is suggested that you contact your MAC if you have any questions.

You may read more about Medicare overpayment here.

If you have any questions about MIPS and QPP, email our Kentucky REC experts or call us 859-323-3090. We’re here to help!