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 5th, 2018
Utilization, new codes, device pass-through, and 340B payment policies top the changes in the Centers for Medicare & Medicaid Services’ (CMS) Outpatient Prospective Payment System (OPPS) final rule for 2019. Cutting OPPS Costs CMS said in a fact sheet with the long-winded title of “CMS finalizes Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical ...
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 ...
Nov 1st, 2018
Learn what’s in store for facilities billing under the Home Health Prospective Payment System in the coming years. For 2019, the Centers for Medicare & Medicaid Services (CMS) will recalibrate scores for the case-mix adjustment variables, clinical and functional thresholds, payment regression model, and case-mix weights using 2017 claims data. The 2019 market basket update ...
In CMS
Apr 13th, 2018
The Centers for Medicare & Medicaid Services (CMS) put on display April 9 a rule that finalizes several proposed changes that will significantly expand the role of states in the administration of the Patient Protection and Affordable Care Act (PPACA), with the intention to reduce regulatory burden and increase flexibility. Background of the PPACA President Obama ...