Jul 1st, 2016
A final rule the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register on June 27 requires entities performing clinical diagnostic laboratory tests to report private payer rates for lab tests. CMS will use this data to calculate Medicare rates for lab tests paid under the Clinical Laboratory Fee Schedule (CLFS) beginning ...
In MACRA
Apr 28th, 2016
In a Notice of Proposed Rulemaking, released April 27, the Centers for Medicare & Medicaid Services (CMS) took a giant step toward a quality-based payment system. The proposed rule sets out to establish the Merit-based Incentive Payment System (MIPS) for eligible clinicians or groups paid under the Medicare Physician Fee Schedule (MPFS). As required by the ...
In CMS
Apr 28th, 2016
How would you rate your satisfaction level with your Medicare administrative contractor (MAC)? The Centers for Medicare & Medicaid Services (CMS) wants to know. In May, you’ll have the opportunity to say what you really think about your MAC’s overall performance via the MAC Satisfaction Indicator (MSI) — a 10-minute survey administered by CMS and conducted ...
In Billing
Apr 5th, 2016
Section 2 of the Patient Access and Medicare Protection Act (PAMPA) mandates that adjustments to the 2016 Medicare fee schedule amounts for certain durable medical equipment (DME) not be applied to wheelchair accessories and seat and back cushions in connection with Group 3 complex rehabilitative power wheelchairs. Until the Medicare claims processing systems implement this ...
In Billing
Feb 16th, 2016
A final rule, issued by the Centers for Medicare & Medicaid Services (CMS) on Feb. 12, clarifies reporting and repayment obligations for providers and suppliers who receive a Medicare overpayment. The final rule explains, “a person has identified an overpayment when the person has or should have, through the exercise of reasonable diligence, determined that the ...