In Billing
Nov 10th, 2017
The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. CMS Finalizes 2018 MPFS Payment and Policy Changes was last modified: November 10th, 2017 by Renee Dustman...
Jul 8th, 2014
As they do every year about this time, the Centers for Medicare & Medicaid Services (CMS) issued, July 3, hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system policy changes and payment rates in a proposed rule (CMS-1613-P). There are no big surprises in this proposed rule. For the most part, CMS ...
Feb 3rd, 2014
President Obama signed into law on Dec. 26, 2013 the Pathway for SGR [Sustainable Growth Rate] Reform Act of 2013 (H.J. Res. 59), narrowly preventing a scheduled Medicare payment reduction for physicians and other practitioners from taking effect on Jan. 1, 2014. The new law extends several provisions of the Middle Class Tax Relief and Job ...
Jan 1st, 2013
By Denise Williams, RN, CPC-H CMS estimates an “overall” rate increase, but changes cost methodology. In the 2013 Outpatient Prospective Payment System (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) bases payments on claims data submitted by hospital providers during 2011. CMS is changing the calculation based on median cost to geometric ...
In Billing
Jul 26th, 2012
Faced with a proposed cut to Medicare fee-for-service rates—a whopping 27 percent come Jan. 1, per the 2013 Medicare Physician Fee Schedule (MPFS) proposed rule—physicians have been waiting for a sign indicating Congress will override the Sustainable Growth Rate (SGR) methodology that calls for the cut, as they have since 2003. Getting the ball rolling ...