Medicare Physician Fee Schedule Expands Telehealth Coverage in 2014
The Centers for Medicare & Medicaid Services (“CMS”) recently released the final rule for Medicare’s Physician Fee Schedule for 2014 Calendar Year (“CY). While physicians are expected to see a...
View ArticleCMS Releases Proposed 2015 Physician Fee Schedule and Outpatient Prospective...
On July 3, 2014, the Centers for Medicare and Medicaid Services (“CMS”) released its proposed Calendar Year (“CY”) 2015 Physician Fee Schedule (“PFS”) Proposed Rule, to be published in the Federal...
View ArticleCMS Releases Proposed 2015 Physician Fee Schedule and Pojects 20.9% SGR...
CMS has issued the Proposed 2015 Physician Fee Schedule and Fact Sheets for specific issues (ASC, ESRD, Home Health, Physician Quality Programs)....By: Tucker Arensberg, P.C.
View ArticleWant To Complain About The 2015 Medicare Physician Fee Schedule? Take A Number.
Apparently Americans feel that way about Medicare’s traditional fee-for-service physician compensation schedule. Everybody complains about it, but nobody likes any proposed changes. That’s clear from...
View ArticleCMS Releases the 2015 Medicare Physician Fee Schedule
The Centers for Medicare & Medicaid Services (CMS) issued the 2015 Medicare Physician Fee Schedule (Medicare PFS) on October 31, 2014. The final rule updates payment policies and payment rates for...
View ArticleBlog: CMS Exempts CME and Makes Other Sunshine Reporting Changes
Late last week, the Centers for Medicare and Medicaid Services (CMS) issued the 2015 physician payment fee schedule, which includes changes to the Final Rule implementing the federal Sunshine...
View ArticleCMS Releases CY 2015 Physician Fee Schedule Final Rule
On October 31, 2014, CMS released the CY 2015 Physician Fee Schedule (PFS) final rule. CMS calculated the conversion factor using the Sustainable Growth Rate (SGR). Due to the Protecting Access to...
View ArticleCMS Finalizes Proposal to Remove Continuing Medical Education Exclusion from...
On October 31, 2014, the Centers for Medicare & Medicaid Services (CMS) issued its final Medicare physician fee schedule rule for CY 2015 (the Final Rule), which also includes certain changes to...
View ArticleGlobal Surgery and 2015 Medicare Physician Fee Schedule
On July 21, 2014, I posted the proposed Medicare Physician Fee Schedule, and described the intent by CMS to eliminate global surgery. On November 13, 2014, CMS issued the final 2015 Medicare Physician...
View ArticleCMS Issues Final Rule on Reimbursement for Chronic Care Management Services
On November 13, 2014, the Centers for Medicare and Medicaid Services (CMS) issued the Medicare Physician Fee Schedule final rule, including a new code and guidance for billing for chronic care...
View ArticleCMS Revises Down 1st Quarter 2015 Medicare Physician Fee Schedule (MPFS)...
CMS has posted a January 2015 release of the National Physician Fee Schedule Relative Value File, reflecting a conversion factor (CF) of $35.7547 – down slightly from the $35.8013 included in the 2015...
View ArticleCMS Publishes Corrections to 2015 Medicare Physician Fee Schedule Final Rule
CMS has published corrections to its final 2015 Medicare physician fee schedule rule. Among other things, the rule reflects a previously-announced correction to the conversion factor for the first...
View ArticleCMS Proposed 2016 Medicare Payment Rules in the Pipeline
CMS recently sent several major proposed Medicare CY 2016 payment rules to the White House Office of Management and Budget (OMB) for regulatory clearance – the last step before publication in the...
View ArticleHealth Care Update - July 2015
In This Issue: - Medicare Releases Set of Payment Rules, Physician Fee Schedule on Deck - Implementation of the Affordable Care Act - Federal Regulatory Initiatives - Congressional Initiatives - Other...
View ArticleCMS Releases 2016 Physician Fee Schedule
Major changes to Stark law are ahead, including new exceptions for timeshare arrangements and employment of NPPs. The Centers for Medicare & Medicaid Services (CMS) released a proposed rule on July...
View ArticleBrace Yourself for another Round of Death Panel Debate
Remember the notorious “death panel” debate of 2009? Congress was considering a proposal to pay doctors for end-of-life counseling. Former vice presidential candidate Sarah Palin led the attack on the...
View ArticleBreaking News: Top 10 Ways the Proposed Rule Impacts Stark Law
With surprisingly little fanfare, the CY 2016 Physician Fee Schedule (the "Proposed Rule") released on July 8, 2015 proposes to add and amend several exceptions to the Physician Self-Referral Statute,...
View ArticleCan My Hospital Bill Medicare for Telehealth Chronic Care Management?
CMS just introduced proposed rules to clarify the requirements and payment opportunities when hospitals want to bill Medicare for Chronic Care Management (“CCM”) services. CCM is an exciting service...
View ArticleCMS Proposes New Stark Exceptions and Clarifications in Proposed 2016...
On July 8, 2015, the Centers for Medicare and Medicaid Services (“CMS”) released its proposed Calendar Year (“CY”) 2016 Physician Fee Schedule (“PFS”) Proposed Rule, which was published in the Federal...
View ArticleCMS Proposes to Establish Separate Payment for End of Life Planning Services
On July 8, 2015, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that updates payment rates and related reimbursement and quality policies for physician services furnished...
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