Apr 8th, 2015
Out of the 1,278 physician groups that qualified for participation in the 2015 Physician Feedback Program/Value-Based Payment Modifier (VM), none earned the maximum 2.0x upward adjustment, the Centers for Medicare & Medicaid Services (CMS) reports. Physicians in group practices of 100 or more eligible professionals (EPs) who submit claims to Medicare under a single taxpayer ...
In Billing
Mar 25th, 2015
Approved by the United States House of Representatives March 26, the long-sought repeal of the Sustainable Growth Rate (SGR) formula may come to fruition this year, thanks to bi-partisan and bi-chamber support and President Obama’s endorsement. For providers and their staffs used to the volatile on-again, off-again SGR process, the primary question is: What now? ...
Accurate, complete coding just got more important than ever. By Jean Acevedo, LHRM, CPC, CHC, CENTC Section 1848(p) of the Affordable Care Act requires the Centers for Medicare & Medicaid Services (CMS) to establish a value-based payment modifier (VBPM) and apply it to certain physicians and physician group practices by January 1, 2015, and to ...
In Billing
Feb 6th, 2014
Bipartisan leadership of three Senate and House committees want to revamp how Medicare pays physicians, and they’ve introduced legislation to do just that. The proposed legislation would repeal the 1997 budget cap calculation called the Sustainable Growth Rate (SGR) and replace it with a .5 percent increase for each of the next five years as ...
In Billing
Jul 13th, 2012
Providers curious about the Medicare Shared Savings Program (MSSP) and the Advance Payment Model (APM) are invited to join a national provider call on July 31, from 1:30 to 3 p.m. EDT.  The Centers for Medicare & Medicaid Services (CMS) says experts will provide an overview and updates to the MSSP and APM application processes ...