National Commission on Payment Reform Recommends 5 Year Transition Model

CMS Implements 0% Medicare Payment Update: Hold Claims for 10 Day

OIG Approves Per Diem Call Pay

2013 Medicare Physician Fee Schedule

THE PROPOSED 2013 MEDICARE PHYSICIAN FEE SCHEDULE PRESENTS SOME MAJOR CONCERNS

CRNA - CMS Developments

Colorado State Court Rules CRNAs May Practice Without Physician Supervision

Significant Issues in the 2013Medicare Physician Fee Schedule

Advance Payment ACO Model

CMS Announces First Accountable Care Organization (ACO) Approvals

CMS proposes one-year delay for ICD-10

Lawmakers Approve the "Doc Fix" Freezing

Congress Postpones SGR 27% Cut For 10 Months

HHS Announces Intent to Delay ICD-10 Compliance Date

Another Temporary Fix For Medicare Physician Fee Schedule SGR Problem

Medcare Physican Fee Schedule SGR Cut Punted For 2 Months

AMA ALERT-Congress Fails to Avert Medicare Payment Cut

Are ACOs the Answer?

AMA Reports; Supercommittee Stalemate Leaves SGR 27.5 Physician Fee Schedule Decrease Intact

AMA Reports; Supercommittee Stalemate Leaves SGR 27.5 Physician Fee Schedule Decrease Intact

CMS Releases 2012 Medicare Physician Fee Schedule With 27.4% Decrease

Final CMS Accountable Care Organization Regulations Provide ACOs more Flexibility

CMS Streamlines ASC Patient Notice Rule

Obamacare CLASS Program Abandoned

U.S. Physician Practices Spend Four Times As Much As Payer Administrative Money As Canadian Counterparts

2011 Medicare Physician Guide

REMINDER: CMS Deadline for Advanced Diagnostic Imaging (ADI) Accreditation is January 1, 2012

CMS Releases 2012 Medicare Physician Fee Schedule

Deadline for Medicare E-Prescribing is June 30, 2011

Republican Senators Seek ACO Revisions

CMS Launches Innovation Website

CMS Estimates 29.9% Decrease for 2012 Medicare Conversion Factor

Medicare ASC 2011 Fee Schedule

CMS Releases 2011 Medicare Conversion Factor = $33.9764

Congress Passes Medicare Physician Fee Schedule One Year Extension

Senate Passes One Year Medicare Physician Fee Schedule Fix

President Signs Physician Payment and Therapy Relief Act of 2010

House Approves One Month "Patch" to SGR

Senate Postpones 23% SGR Medicare Physician Fee Schedule Cut One Month

CMS Introduces New Center for Medicare and Medicaid Innovation

CMS Requests ACO Comments

CMS Releases 2011 Medicare Physician Fee Schedule

Highmark Revises Concurrent Care Guidelines

Regional Health Care Fraud Summit

CMS Releases Proposed 2011 Medicare Physician Fee Schedule

CMS Releases Proposed ASC 2011 Fee Schedule

2.2 % Medicare Physician Fee Increase Enacted for June1, 2010

Senate Passes 6 Month SGR Fix - House Votes Next Week

AMA Releases Guidance On Medicare Physician Fee Decrease

CMS Extends Medicare Claim Hold Until June 17, 2010

10 Day Medicare Hold for June

Houses Passes SGR Medicare Fix But Senate Adjourns For Holiday

Medicare SGR Developments

Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months

Medicare HHA Pay for Performance Demonstration Yields $15 Million

Medicare Physician Payment Cuts Delayed Through May 31, 2010

Congressional Progress: Medicare Physician Fee SGR 21.3 % Cut

Registration of Billing Agents, Clearinghouses and Alternate Payees

Medicare Self-Referral Disclosure Protocol

Special Requirements for DME and Home Health Services

PPACA Reduces Medicare FFS Claim Filing Period to One Year

And Here's The CMS 10 Day Hold Notice for Medicare Physician Claims

Medicare Physician Fee Schedule SGR 21.3% Decrease April 1, 2010

Healthcare Reform Summary from NAMSS

Senate Proposes Delay of Medicare SGR Decrease Until October 1, 2010

Medicare Physician Fee Schedule SGR Reduction Postponed One Month

Medicare SGR Physician 21.5% Cut Will Happen March 1, 2010

CMS Mandates Advanced Imaging Accreditation by January 2012

Pittsburgh Included In CMS DMEPOS Round One Competitive Bidding Program

CMS APPROVES THREE NATIONAL ORGANIZATIONS TO ACCREDIT SUPPLIERS OF ADVANCED IMAGING SERVICES

Congress/Senate Progress on Medicare SGR Reduction

HHS Publishes New Data Bank Regulations

With Healthcare Reform Stalled - What Happens to the Medicare SGR Cut?

Medicare Physician SGR 21% Reduction Postponed 2 Months

CMS Advises Physicians to Hold 2010 Claims and Extends Participation Enrollment to 3/31/10

Healthcare Reform Compromise Contains Hidden Benefits

MM6740 - Revisions to Consultation Services Payment Policy

CMS Revises Claims Processing Manual to Eliminate Consultation Codes

CMS Finalizes Supervision Requirements For Hospital Outpatient Services

Reporting Purchased Services

CMS 2010 Physician Fee Schedule Final Rule

Healthcare Reform: Physician Transparency and Disclosure

AMA Medicare Action Kit - States Where Medicare Cuts Will Decrease Physician Participation

AMA & MGMA Lobby for Support to Reverse the SGR Medicare Physician Cut

New Medicare Recoupment Rules Protect Providers

October 1, 2009: Effective Date of New Stark Rules

MGMA Comments to Baucus Proposed America's Healthy Future Act of 2009

Medical Staff Joint Commission Standards: MS.01.01.01 is the New MS.1.20

DMEPOS Accreditation Required September 30, 2009

MGMA Identifies Key Physician Healthcare Reform Issues In Baucus Bill

Senate Finance Committee Chairman Introduces Health Reform Bill

Medicare Consignment Closet Changes Delayed Until March 1, 2010

Consignment Closets: CMS Issues Physician Restrictions

How Many Lobbyists Does it Take to Fix/Ruin Healthcare Reform?

OIG Seeks Revision of "Incident To Rules"

Radiology Self-referral Bill May Be Folded Into Health Reform

Obama Hails Advance of Health-Care Reform Bill in Senate

CMS Issues Proposed Changes to Physician Supervision Requirements for Hospital Outpatient Services

CMS Issues Proposed Changes to the Ambulatory Surgical Center Payment System and CY 2010 Payment Rates

CMS Releases Proposed 2010 Physician Fee Schedule and Projects 21.5% Decrease

Significant New False Claims Act Changes

Alert!: CMS Warns of Physician Scam

Highmark Medicare Services Teleconference On Billing Of Time Units For Physical And Occupational Therapy Services

Tristani's Blow to State Medicaid Agency's Third Party Liability Collection Practices

Highmark Issues Local Coverage Determinations (LCDs)

2009 Physician Enrollment Changes for Medicare Eliminates Retroactive Billing

Medicare Approves Sleep Testing for Obstructive Sleep Apnea (OSA)

Medicare Fraud and Abuse Resource Reference

CMS Websites for Medicare Fee-for-Service Providers

Medicare January 2009 Update for Ambulatory Surgical Center (ASC) Payment System

HIGHMARK WINS MEDICARE ADMINISTRATIVE CONTRACTORS STATUS FOR JURISDICTIONS 12 AND 15

CMS SURETY BOND REQUIREMENTS FOR DMEPOS

HEALTHCARE REFORM: ISSUES AND COSTS

MEDICARE RESOURCES FOR ADVANCED PRACTICE NURSES

IDTF Medicare Changes for 2009

Medicare 2009 Anti-Markup Rules

2009 MEDICARE PHYSICIAN FEE SCHEDULE

Physicians Will Get 1.1% Medicare Increase for 2009

CMS Announces Increase Efforts to Fight Fraud, Waste and Abuse in Medicare

Medicare Adds False Claims Authority to Purchased Diagnostic Services

PROMETHEUS: Innovative Physician Payment Model Seeks Physician Input

Key Points of Medicare Improvement for Patients and Providers Act of 2008 (MIPPA)

CMS PROVIDES EVALUATION AND MANAGEMENT SERVICES GUIDE

Medicare Audit Program Identifies Significant Over-Payments

Proposed Stark Exceptions For Incentive Payments And Shared Savings Program

CMS Medicare Physician Fee Scedule Notice: .5 % Increase

Congress Overrides Medicare Veto

MGMA Reports That President Vetos Medicare Bill to Prevent Physician Fee Cut

Physician Self-Referral and Anti-Markup Issues

Medicare 2009 IDTF Proposals

Medicare Payment Update

Senate Passes Medicare Physician Fee Savings Bill

2009 Medicare Physician Fee Schedule Issues

Wall Street Journal Update on Medicare Physician Fee Schedule

Proposed 2009 Medicare Physician Fee Schedule

Medicare Announces 10 Day Hold on Physician Medicare Payments

Senate Fails to Postpone Medicare Physician Fee 10% Cut

House Approves Medicare Physician Fee Freeze for 2008

Highmark Delays Diagnostic Imaging Technical Component Reduction

CMS Update On Incident To Billing Policies

DMEPOS Medicare Competitive Bidding Program Draws Attention

CMS Releases 2009 Inpatient Rehabilitation Facility "Prospective Payment System"

CMS Stark Proposals: "Stand in Shoes" & Gainsharing

Pittsburgh MSA Included in DMEPOS Medicare Competitive Bidding Program

Highmark Medicare LCD's Proposed

CMS DECISION MEMO FOR COMPUTED TOMOGRAPHIC ANGIOGRAPHY (HEART CT)

MEDICARE TO INCREASE AUDIT FREQUENCY UNDER RECOVERY AUDIT PROGRAM

Medicare FFS Appeal Process: Good Summary From CMS

CMS PUBLISHES CORRECTED 2008 ASC FEE SCHEDULE

Simple CMS Physician Fee Schedule Explanation

CMS PUBLISHES PROPOSED RULE ON DURABLE MEDICAL EQUIPMENT SUPPLIER ENROLLMENT WHICH MAY AFFECT PHYSICAL THERAPY PRACTICE

CORF: 2008 Medicare Regulations

Reporting of Cardiac Rehabilatation Services

CMS New Years Present: Anti-Markup Rules Effective Date Delayed Until January 1, 2009

MEDICARE PROVIDES NEW DEFINITION OF PHYSICAL THERAPIST ASSISTANT

House Approves 6 Month .5% Medicare Physician Fee Increase

2008 Medicare Physician Fee Schedule : Proposed 6 Month Delay

2008 MEDICARE RVU REFINEMENTS

New Medicare IDTF Performance Standards Effective January 1, 2008

The New Medicare Anti-Markup Diagnostistic Test Results

Medicare Physician Quality Reporting Initiative ( PQRI ) 2008 Quality Measures

Highmark Announces ASC Accreditation Requirements

Medicare Final Rule Announces 2008 Physician Fees: Text of Press Release

2008 Medicare Physician Fee Schedule

Medicare Publishes Part B Specialty Billing Guides

ASC Payment Regs Released

Prohibited Mark-up of Diagnostic Tests: Text of Proposed 2008 Medicare Regs

Medicare IDTF Proposals: Regs and Staff Comments Text

Proposed 2008 Medicare Changes: Diagnostic Test Mark-Up Prohibited

CMS Proposes Medicare Changes for 2008

CMS Hospital Report Card Link

Key Facts: Medicare Physician Quality Reporting Initiative (PQRI)

CMS Provides Details on Physician Quality Reporting Initiative

GAO Recommends Physician Profiling

Top 10 Billing Errors from Highmark Medicare Services

Top 10 Billing Errors from Highmark Medicare Services

Highmark Expands Preauthorization List

CMS To Host Physician Quality Reporting Initiative (PQRI) Teleconferences

New MedPAC Reports: Physician Medicare Reimbursement, Sustainable Growth Rate, and P4P

Presription for Pennsylvania: Governor Rendell's Proposal for Pennsylvania Healthcare Reform

CMS Reverses Position On New IDTF Standards

CMS Establishes Website for Physician Quality Reporting Initiative (PQRI) Mandated by Tax Relief and Health Care Act of 2006

CMS Issues New Independent Diagnostic Testing Facility (IDTF) Standards Effective 2/26/07

Medicare Payment for PTA

Highmark Blue Cross Blue Shield Plans to Follow the Medicare Reductions for the Technical Component of Multiple Diagnostic Imaging Services

2007 Medicare Changes

Tax Relief and Health Care Act of 2006 Eliminates 5% Medicare Physician Fee Cut for 2007

Congressional Leaders Agree to Eliminate Medicare Physician Pay Cut

National Provider Identifier (NPI) Usage Mandatory in Six Months

OIG Issues Another Physician Gainsharing Advisory Opinion

CMS Proposes New Ambulatory Surgery Center (ASC) Fee Schedule

Link: 2007 Medicare Physician Fee Schedule

2007 Physician Fee Schedule

Reimbursement News: CMS Announces Gainsharing Demonstration Project and Congressional Advisory Board Analyzes Physician Payment System Options

2007 Medicare Physician Fee Schedule Proposals: Reassignment and Centralized Building Definiton

Independent Diagnostic Testing Facilities (IDTF): Medicare 2007 Proposed Physician Fee Schedule

CMS Issues Proposed 2007 Physician Fee Schedule

Reminder: Medicare Payment Delay for 9/22/06 Through 9/30/06

Senator Frist Starts Healthcare Blog

Non-Physician Practitioners(NPP) May Bill Medicare For Care Plan Oversight (CPO) Effective 10-02-06

CMS Announces Physician Fee Schedule Change for E&M Codes

CMS POSTS MEDICARE PAYMENTS

REMINDER: MEDICARE COMPETITIVE ACQUISITION

CMS UPDATES MEDICARE COVERAGE REQUIREMENTS

CMS PUBLISHES FINAL ENROLLMENT REQUIREMENTS

National Coverage Determination Process - CMS Issues Final Guidance Documents

Highmark Prior Authorization Requirement For Diagnostic Imaging: April 1, 2006

NATIONAL PROVIDER IDENTIFIER (NPI)

Reaction to AMA:Congress P4P Agreement

AMA AND CONGRESS SIGN P4P AGREEMENT

DEFICIT REDUCTION ACT OF 2005:

MORE DRA 2005 REIMBURSEMENT NEWS

Deficit Reduction Act -- U.S. House Of Representatives Approves But Medicare Physician Increases Limited

CMS Revises Physician Voluntary Reporting Program (PVRP)

AUTOMATIC 4.4% MEDICARE REDUCTION EFFECTIVE JANUARY 1, 2006

CMS Issues P4P Demo Project Results

Pay For Performance (P4P)

Highmark Announces Policy Restricting Concierge Medical Practices

"Incident To" Rules Effective July 25, 2005

Highmark Defines Concurrent Care Reimbursement Policies