The FAFP now assists members in resolving insurance related issues through our new Hassle Factor Form.
The following Hassle Factor Form may be completed in order to report insurance administrative and claims processing concerns experienced in your practice. This information is confidential and assists the Florida Academy of Family Physicians (FAFP) in identifying common areas of concern and in facilitating a dialogue with payers. Please provide as much detailed information as possible, such as de-identified documents that support the grievance (e.g. no patient specific information).
By collecting data on issues Family Physicians have with third party payers, the FAFP will be better able to identify common areas of concern and facilitate dialogue with payers. Please complete one form per carrier issue.
>> Proceed to the FAFP Hassle Factor Form
Should you require additional assistance on a particular coding or health plan coverage issue, please contact Jennifer Young, Director of Membership and Practice Enhancement Services at firstname.lastname@example.org.
Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
With the repeal of the sustainable growth rate, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) offers new opportunities for Medicare providers.
To ensure your practice is MACRA Ready, the AAFP and FAFP are here to help!
As new MACRA details become available, count on us to keep you informed and help guide you through the shift to value-based payment.
In the meantime, start familiarizing yourself with these free MACRA resources—including a timeline and FAQ—to learn what MACRA means for you and your practice. You may also view the MACRAready page as your personal road map to MACRA success.
Please see the below MACRA resources currently avaliable:
MACRA Basics - Pick your Pace
We know how frustrating health care reform can be and now is the time to show the rewards—for both physician and patient—of value-based payment. To help you avoid a 4% negative payment adjustment in 2019, the AAFP and FAFP are here to guide you through the Quality Payment Program (QPP), created as part of MACRA. Click the following video to watch now.
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was passed and signed into law in April of 2015. MACRA introduces two new payment tracks for physicians and aims to transition Medicare from volume-based to value-based payment models. Under MACRA, eligible clinicians (ECs) will participate in either the Merit-based Incentive Payment System (MIPS) or an Advanced Alternative Payment Model (AAPM). MIPS and AAPMs are collectively referred to as the Quality Payment Program (QPP). The initial performance period begins in 2017.
With the MIPS track, ECs receive a final score based on performance in four performance categories: quality, cost, advancing care information (ACI), and improvement activities (IA). A clinician’s performance in 2017 determines Medicare Part B payment adjustments for 2019.
Pick Your Pace Overview
To give ECs more time to learn about and adjust to QPP, the Centers for Medicare & Medicaid Services (CMS) deemed 2017 a transition year to “Pick Your Pace.” To avoid a 2019 negative payment adjustment, ECs must select from one of four Pick Your Pace options. Click here to read more.
Chronic Care Management (CCM)
Starting January 1, 2015, Medicare now pays separately under the Medicare Physician Fee
Schedule for CPT code 99490, for non-face-to-face care coordination services furnished to Medicare beneficiaries with multiple chronic conditions. CPT 99490 is defined as follows:
Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following
Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient,
Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline,
Comprehensive care plan established, implemented, revised, or monitored.
The following CMS Fact Sheet, will provide background on the newly payable chronic care management (CCM) services, identify eligible providers and patients, and provide further details on the Medicare PFS billing requirements.
Physician/Attorney Collaboration on Behalf of Older Individuals
Click below to view a new, free online educational module relating to interprofessional collaboration between physicians and attorneys on behalf of their older patients/clients. The case vignettes and written materials in this module have been produced by the Florida State University Center for Innovative Collaboration in Medicine and Law under a grant from the Retirement Research Foundation. This module is suitable both for individual self-study by physicians and attorneys and by professional organizations as the foundation for live continuing education programs. The module, including written materials, may be accessed by clicking here.
The Health Services Advisory Group (HSAG) has launched a new webpage called The Quality Payment Program (QPP) Service Center. This no cost service center is an on-demand technical assistance and educational resource center that provides access to QPP tools and resources, telephonic technical assistance and email support. To connect, please click the image below.
Avoid the 2019 Payment Adjustment - It's Easier than you Think
Learn more about the Test option on the CMS Quality Payment Program website. Click here.
Health Services Advisory Group subject matter experts can assist your practice. Contact a Quality Payment Program Specialist for no cost support at
844.472.4227 Mon–Fri, 8 a.m.–8 p.m. ET or HSAGQPPSupport@hsag.com
2010 - present
2010 - present