In CMS
Jul 19th, 2017
There’s a definite theme seen throughout the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule: The Merit-based Incentive Payment System (MIPS) is referred to in nearly every section. In reading the proposed rule, it becomes evident that the Centers for Medicare & Medicaid Services (CMS) is clearly working toward aligning all Medicare Part B payment ...
In CMS
Jul 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) has a date in mind for implementing the Appropriate Use Criteria (AUC) program for advanced diagnostic imaging services. In the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule, CMS proposes Jan. 1, 2019, as the date when ordering professionals would need to consult specified applicable AUC using a qualified clinician ...
In Billing
Jul 14th, 2017
The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to address changes to the Medicare Physician Fee Schedule (MPFS) and other Medicare Part B payment policies for 2018, and beyond. Provisions of the Proposed Rule for PFS CMS is proposing for the MPFS in 2018 potentially misvalued codes; values for new, revised, and ...
Jun 14th, 2017
A 2017 report released by the Centers for Medicare & Medicaid Services (CMS) is like a tell-all book on quality reporting — fascinating stuff, and a must-read for every healthcare professional and support staff. Inside, you will find facts and figures regarding the 2015 Physician Quality Reporting System (PQRS) reporting experience, including trends dating back ...
Know the impact of this regulation on off-campus hospital departments. Section 603 (Site Neutral Payments Provision) of the Bipartisan Budget Act of 2015 (BBA) reduces Medicare reimbursement for certain off-campus hospital departments by eliminating eligibility for payment under the Hospital Outpatient Prospective Payment System (OPPS). With few exceptions, off-campus provider-based departments tha...