Congressional Budget Office Releases Significantly Higher Estimate of...
On November 1, 2012, CMS announced the Physician Fee Schedule rates for 2013, implementing a 26.5 percent rate reduction required under the sustainable growth rate (SGR) formula. The SGR is a...
View ArticleHealth Care Legal News - November 28, 2012 • Volume 2, Number 10
In This Issue: - Medicare Finalizes 2013 Physician Payment Schedule - Ohio Court Rules That A Court CAnnot Compel A Terminated Employee To Return PHI To The Former Employer - Insurer’s Antitrust Action...
View ArticlePayment Matters: CMS Releases its CY 2013 Physician Fee Schedule Final Rule
CMS has released its Calendar Year (CY) 2013 Final Rule for practitioners who are paid under the Physician Fee Schedule (PFS). CMS anticipates that many non-primary care specialties will see a decrease...
View ArticleNew Medicare Regulations Require Face-to-Face Physician Encounters for DME...
On November 16, 2012, the Centers for Medicare & Medicaid Services ("CMS") published a final rule making various changes to payment policies under the Physician Fee Schedule. Included in this rule...
View ArticleSGR Cuts of Over 26% to Take Effect on January 1, 2013
On December 19, 2012, CMS issued a notice advising physicians of impending payment cuts to the Medicare Physician Fee Schedule. For calendar year 2013, the sustainable growth rate formula (SGR) calls...
View ArticleCMS to Apply the Multiple Procedure Payment Reduction on the Professional...
Beginning January 1, 2013, physicians in the same practice group who provide certain diagnostic imaging services may be required to bill at reduced rates, due to a broadened application of the Multiple...
View ArticleCR7631: Changes to Place of Service Coding Effective April 1, 2013
After the OIG identified a high error rate for Place of Service (“POS”) modifiers over several years, the Centers for Medicare and Medicaid (“CMS”) issued a billing and coding revision (CR 7631) to...
View ArticleCMS Proposes 2014 Medicare Physician Fee Schedule; SGR Reduction Projected @...
CMS has issued the poroposed Medicare Physician Fee Schedule. Without Comf=gressional intervention, the SGR will mandate a 24>4% decrease. CMS sent its calcuations to the Medare Payment Advisory...
View ArticleCMS Proposes New Standards and Processes for Medicare Coverage of...
In its proposed update to the Physician Fee Schedule for calendar year 2014, the Centers for Medicare & Medicaid Services (CMS) suggested major revisions to its regulations governing Medicare...
View ArticleCMS Issues Proposed CY 2014 Medicare Physician Fee Schedule (MPFS) Rule and...
On July 19, 2013, CMS issued the proposed CY 2014 MPFS rule and suggested significant modifications to its regulations governing Medicare coverage of investigational devices and the routine items and...
View Article2014 Physician Fee Schedule: Cuts and Quality and Data! Oh My!
The Centers for Medicare and Medicaid Services (CMS) recently released the calendar year 2014 Physician Fee Schedule Proposed Rule (Proposed Rule)....By: BakerHostetler
View ArticleCMS Issues Proposed Rule That Will Update Payment Policies/Rates Under the...
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that will update payment policies and rates under the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2014 on...
View ArticleSGR Reform—Improved Outlook for Congressional Action This Year?
What is the SGR? The Sustainable Growth Rate (SGR) formula was enacted in 1992 as a statutory means of controlling Medicare spending by calculating annual updates to the Medicare physician fee...
View ArticleCMS Announces Delay in Issuance of Final Rules
On October 23, 2013, CMS issued a memorandum to providers announcing that the publication of several final rules would be delayed, possibly until the end of November. The memorandum noted that the...
View Article2014 Medicare Physician Fee Schedule Final Rule Under Review
The White House Office of Management and Budget (OMB) received the 2014 Medicare Physician Fee Schedule Final Rule (Physician Fee Schedule) for review on November 21, 2013. OMB is responsible for...
View ArticleCMS Issues Medicare Physician Fee Schedule Without Finalizing Proposal Most...
On the day before Thanksgiving and a little over one month after the end of the government shutdown, the Centers for Medicare & Medicaid Services (“CMS”) published a rule finalizing revisions to...
View ArticleCMS Issues Medicare Physician Fee Schedule Final Rule
On November 27, 2013, CMS released a 1,369 page display copy of the CY 2014 Medicare Physician Fee Schedule (PFS) final rule. The final rule, which was delayed because of the government shut-down in...
View ArticleCMS Releases Final Rule for 2014 Medicare Physician Fee Schedule
CMS has released its much-anticipated final rule with comment for the Calendar Year (CY) 2014 Medicare Physician Fee Schedule (PFS). The final rule prescribes physician payment rates that will go into...
View ArticleHealth Care Fraud and Abuse Alert: What CMS’s New Billing Requirement For...
In the final Medicare Physician Fee Schedule for 2014 (“2014 PFS”), CMS implemented a new condition of payment for “incident to” services that has significant fraud and abuse implications for any...
View ArticleHealth Reform + Related Health Policy News - December 2013
In This Issue: - Top News ..CMS Releases Payment Rules for the Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System, Renal Dialysis and Home Health ..President Signs the Drug...
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