In CMS
Aug 12th, 2019
The Centers for Medicare & Medicaid Services (CMS) is proposing major payment changes to sinus endoscopy services. The 2020 Physician Fee Schedule (PFS) proposed rule (page 53) includes the following excerpt: We are proposing to apply the special rule for multiple endoscopic procedures to this family of codes beginning in CY 2020. This proposal would treat ...
Apr 24th, 2019
The Centers for Medicare & Medicaid Services (CMS) released on April 23 proposed policy changes and rates for the 2020 Inpatient Prospective Payment System (IPPS) and Long-term Care Hospital Prospective Payment System (LTCH PPS). The proposed payment updates for 2020 are: 2.7% for hospitals that submit quality data and are meaningful EHR users 0.3% for ...
In Billing
Feb 7th, 2019
The Centers for Medicare & Medicaid Services (CMS) is proposing to change the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for 2020 and it could affect a medical group or facility’s bottom line. CLIA Analyte Additions The notice of proposed rulemaking includes the addition and deletion of analytes – or the components being studied – ...
In CMS
Sep 21st, 2018
The Centers for Medicare & Medicaid Services (CMS) issued, Sept. 17, a proposed rule for revising several compliance requirements that have been identified as unnecessary, obsolete, or excessively burdensome on healthcare providers and suppliers of durable medical equipment. The proposed changes are in accordance with President Trump’s Jan. 30, 2017, Executive Order “Reducing Regulation and Con...
In the Medicare Physician Fee Schedule (MPFS) proposed rule for 2019 payment policies, the Centers for Medicare & Medicaid Services (CMS) introduces radical changes to the way healthcare practitioners would be reimbursed for evaluation and management (E/M) services furnished to their Medicare Part B patients beginning in 2019. At the crux of the debate that ensued with the ...