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MACRA/MIPS
2025 MIPS INFORMATION MIPS Value Pathway (MVP) Options for 2025 Merit-based Incentive Payment System (MIPS) 2025: Overview and Quality Measures COST MEASURES 2025 Quality Measures by Type for Optometrists Promoting Interoperability Measures2025 Improvement Activities for Optometry 2024 MIPS INFORMATION MIPS 2024 Part I: Overview and Quality Measures MIPS 2024 Part II: Improvement Activities and Promoting [...]
General Information
June 2025: Medicare Advantage Risk Adjustment Data Validations (RADV) AuditsOptometrists MUST comply with these requests, but there are a few suggestions to make this more palatable:1. Ensure that the record request is indeed due to the RADV audit process and will often come from a contracted company and not the insurance provider themselves. 2. [...]
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Medicaid
News & Updates January 1, 2025 Anthem will no longer be a Medicaid Managed Care OrganizationStarting January 1, 2025 Anthem will no longer be a Medicaid Managed Care Organization, or MCO, in Kentucky. This does not change a member’s Medicaid eligibility. Medicaid coverage will not be interrupted. Members with Anthem MCO will be [...]
General Information
Kentucky Department of Medicaid - Provider Enrollment *To enroll as a Medicaid provider you must first apply for a Medicaid # through the Department of Medicaid. Once you receive your Medicaid #, then you can decide to credential with any of the five Medicaid Manage Care Companies (MCOs). **Remember the MCO's will not reimburse you [...]
PAC
Political Action Committees (PACs) Kentucky Optometric PAC Optometry is a legislated profession. As a legislated profession, there are threats to Kentucky optometry every year, ranging from your scope of practice, access to patients, insurance reimbursements, and much more! It is essential that you contribute to the Kentucky Optometric PAC. These funds ensure participation in the [...]