Medicare Compliance & Reimbursement

Regulations:

Need ACA Clarity? Dispel Confusion With These Facts

Good News: Tell patients that they are entitled to a government rebate on Rx costs if they cross $2,930 and are paying out of pocket.Now that the Supreme Court has upheld the constitutionality of the Affordable Care Act (ACA) which was signed into law over two years ago, Part B practices are left wondering what the impact will be on their daily practice. Our experts bring you the lowdown with these three facts.Fact 1: The ACA Does Not Impact Instability in the Conversion Factor. Medicare payments are set to drop by 27 percent in 2013, unless Congress steps in to change that. What confuses many physicians is whether the ACA changes that fact. Unfortunately, the two are not tied together -- the ACA has no impact on the proposed Medicare Physician Fee Schedule."The Sustainable Growth Rate (SGR) formula is not addressed in the ACA and is not affected by the ruling," [...]
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