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 ...
In CMS
Jul 11th, 2017
A proposed rule, released July 5, sets the groundwork for the Centers for Medicare & Medicaid Services (CMS) to update and revise the End-stage Renal Disease Prospective Payment System (ESRD PPS) and update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI) for 2018; as well as to ...
Jun 29th, 2017
The Centers for Medicare & Medicaid Services (CMS) filed a proposed rule in the Federal Register on June 20 for year two of the Quality Payment Program. The agency quickly followed up on June 26 with a webinar to provide a digestible overview of the major provisions in the 1,058-page document. The Medicare Access and ...
Jun 21st, 2017
A proposed rule for 2018 updates to the Quality Payment Program (QPP) holds few surprises, except for one: The Centers for Medicare & Medicaid Services (CMS) is proposing to increase the low-volume threshold to exempt more clinicians from the Merit-based Incentive Payment System (MIPS). Small Practices Get Leniency Clinicians who are eligible to participate in MIPS ...