In Billing
Nov 28th, 2018
The Centers for Medicare and Medicaid Services (CMS) held an open door forum last week to review the Physician Fee Schedule (PFS) rule for 2019, including proposals that will be deferred until 2021 as part of the Patients over Paperwork initiative. CMS stressed that they will be paying for virtual check-ins with patients and virtual consultations ...
In CMS
Nov 16th, 2018
 CMS has said they plan on rolling out mandatory Medicare bundled payment models for cancer, and they are going to reconsider voluntary cardiac care bundled models, even though they had decided that cardiac care bundled care would not work. Bundled Models HHS Secretary Alex Azar indicated that although bundled payments for care is a voluntary ...
In CMS
Nov 13th, 2018
Proton therapy has been a tough sell for payers, but recent $25 million Oklahoma decision against Aetna may make them reconsider coverage for the spreading radiation therapy technique. Proton Tx Considered Best Choice According to the Associated Press, jurors believed Aetna reckless disregarded its duty to deal fairly and in good faith with Orrana Cunningham.  ...
In Billing
Nov 6th, 2018
2019 HCPCS Level II changes are comprehensive this year, and the code set includes several new modifiers as well as codes. The Centers for Medicare & Medicaid Services (CMS) released them November 6. HCPCS General Talley The 374 changes are broken down this way: 228  new codes and modifiers 49 discontinued codes and modifiers 95 changed ...
In CMS
Nov 1st, 2018
The 2019 Physician Fee Schedule and Quality Payment Program final rule has come out. The Centers for Medicare & Medicaid Services (CMS) announced Nov. 1 they are not going to make changes to payment for evaluation and management (E/M)  services until at least 2021. CMS Administrator Seema Verma said in a press release, “We know ...