Final Rule Implements Quality Payment Program under MACRA
If you are a physician, mid-level provider, or work with those providers, then you have been bombarded with new acronyms for new programs and promises to remove older acronyms from your Medicare...
View ArticleNew billing modifier required for services furnished at certain off-campus...
Changes to Medicare billing and payment rules for services furnished at certain off-campus provider-based departments (PBDs) went into effect on January 1, 2017. Pursuant to the statutory...
View ArticleCMS Issues CY 2016 Medicare Physician Fee Schedule Final Rule
On October 30, 2015, CMS released the CY 2016 Medicare Physician Fee Schedule (PFS) Final Rule updating payment policies, payment rates, and quality provisions for services furnished under the PFS on...
View ArticleCMS Releases Proposed Rule for 2018 Physician Fee Schedule
On July 13, 2017, CMS proposed a rule (Proposed Rule) updating payment policies and rates, as well as the quality provisions, for the Medicare Physician Fee Schedule (PFS). Among other provisions, the...
View ArticleCMS’s 2018 Medicare Physician Fee Schedule Proposed Rule Would Slash...
The Centers for Medicare & Medicaid Services (CMS) released its 2018 Medicare Physician Fee Schedule proposed rule on July 13, 2017. The proposed rule, among other things, proposes to cut Medicare...
View ArticleHealth Update - July 2017
Contracting With Technology Vendors: Obligations and Compliance Strategies - Editor’s Note: In a recent webinar, Manatt Health examined how to protect privacy when communicating in the digital age. The...
View ArticleCMS Proposes Medicare Physician Fee Schedule Update for 2018
The Centers for Medicare & Medicaid Services (CMS) has published its proposed rule to update the Medicare physician fee schedule (PFS) for calendar year (CY) 2018. The proposed rule addresses...
View ArticleCMS Releases Proposed 2018 Medicare Payment Regulations
On July 13, the Centers for Medicare and Medicaid Services (CMS) released the proposed 2018 Physician Fee Schedule that would update payment policies, payment rates and quality provisions for...
View ArticleCMS Proposes to Reduce Facility Payment for Non-Excepted Provider-Based...
CMS recently proposed to reduce the facility fee for non-excepted off-campus provider-based hospital departments (OPBDs) from 50 percent of the Medicare Physician Fee Schedule (MPFS) amount to 25...
View ArticleMACRA Physician Payment Reform: Time to Take Stock of What Is Working and...
In April 2015, Congress established a new framework for Medicare Part B physician payments through the passage of the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”), which the Centers...
View ArticleFinal Medicare Payment Regulations Expected for Physician Providers,...
The Centers for Medicare & Medicaid Services (CMS) released several annual Medicare proposed payment rules over the summer that are expected to be finalized this fall for 2018. On July 13, CMS...
View ArticleDealing with Disasters – Quality Payment Program Exception Available for...
The Centers for Medicare & Medicaid Services (CMS) simplified the process for clinicians and other providers to seek the Quality Payment Program (QPP) Hardship exception by releasing an online...
View ArticleRecent Changes to the Stark Law Provide Added Flexibility
The 2016 Medicare Physician Fee Schedule Final Rule ("Final Rule") contains recent changes to the Federal Stark Law, the majority of which took effect on January 1, 2016. The issuance of the Final Rule...
View ArticleStark Law Update
The Stark Law has been updated effective January 1, 2016 in ways that may affect your medical practice and hospital relationships. Among other things, these updates add two new exceptions to the...
View ArticleImportant Changes for Physicians from the 2016 Medicare Physician Fee...
On November 16, 2015 the Centers for Medicare and Medicaid Services (CMS) published the final Medicare Physician Fee Schedule (Final MPFS). The Final MPFS addresses changes to the physician fee...
View ArticleImportant Changes for Physicians from the 2016 Medicare Physician Fee...
On November 16, 2015 the Centers for Medicare and Medicaid Services (CMS) published the final Medicare Physician Fee Schedule (Final MPFS).1 The Final MPFS addresses changes to the physician fee...
View ArticlePortable X-Ray Suppliers Receive Clearer Transportation Billing Guidance
Included among the 2016 Medicare Physician Fee Schedule (MPFS) changes is clarification from CMS regarding how it expects transportation charges billed by portable x-ray suppliers to be prorated among...
View ArticleA&B Healthcare Week in Review
I. REGULATIONS, NOTICES, & GUIDANCE - On March 8, 2016, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule entitled, “Medicare Program; Part B Drug Payment Model.” The...
View ArticleCMS’ New Initiative Intended to Transform Primary Health Care
CMS’ efforts to improve the delivery of primary health care moved into new territory this week when the agency announced a new five-year delivery model, Comprehensive Primary Care Plus (CPC+), which...
View Article2016 Stark Law Updates
Centers for Medicare and Medicaid Services (CMS) issued the 2016 Medicare Fee Schedule (the "Schedule") in an effort to facilitate compliance with the Physician Self-Referral Law (the "Stark Law")....
View Article