http://www.cms.gov/transmittals/downloads/R828OTN.pdf
Medicare & Reimbursement
Congress Passes Medicare Physician Fee Schedule One Year Extension
By Michael Cassidy on
Posted in Medicare & Reimbursement
Congress approves Medicare physician payment fix
The House of Representatives passed legislation this morning that averts a 24.9 percent Medicare payment cut to physicians that was scheduled to take effect on Jan. 1. The measure passed the Senate Wednesday evening by unanimous consent. To pay for the legislation, the bill changes policy regarding overpayments…
Senate Passes One Year Medicare Physician Fee Schedule Fix
By Michael Cassidy on
Posted in Medicare & Reimbursement
MGMA reported today:
Senate passes a 1-year Medicare physician payment patch; House to act next
The Senate passed today by unanimous consent legislation preventing a 24.9 percent cut in Medicare physician payments. The Medicare and Medicaid Extenders Act of 2010 (H.R. 4944) extends the current Medicare payment rates through Dec. 31, 2011. This one-year…
President Signs Physician Payment and Therapy Relief Act of 2010
By Michael Cassidy on
Posted in Medicare & Reimbursement
Pres. Obama signed the Physician Payment and Therapy relief Act of 2010. This act extends the temporary 2.2 % medicare Physician Fee Schedule increase, which replaced the projected 23% SGR decrease for 2010, but only for one more month.
House Approves One Month “Patch” to SGR
By Michael Cassidy on
Posted in Medicare & Reimbursement
MGMA has reported that the House has approved the Senate bill delaying the 23% SGR Medicare decrease to the Medicare Physician Fee Schedule for one month. If signed by President Obama, this will apply only to the month of December, and will not address the mandatory SGR cuts for next year which, without further action, will be…
Senate Postpones 23% SGR Medicare Physician Fee Schedule Cut One Month
By Michael Cassidy on
Posted in Medicare & Reimbursement
|
Senate Acts to Avert Medicare Physician Fee Cut On November 18, 2010, the Senate approved a bill that would postpone the scheduled 23% Medicare physician payment cut scheduled to take effect on December 1, 2010, for one month. If approved by the House of Representatives and signed into law |
…
CMS Introduces New Center for Medicare and Medicaid Innovation
By Michael Cassidy on
Posted in Medicare & Reimbursement
On November 16, 2010, the Centers for Medicare and Medicaid Services (CMS) announced the establishment of the Center for Medicare and Medicaid Innovation (CMI), under the Patent Protection and Affordable Care Act (PPACA). The acting director of the Center is Richard Gilfillan, M.D., the former president and CEO of Geisinger Health Plan and executive vice president…
CMS Requests ACO Comments
By Michael Cassidy on
Posted in Medicare & Reimbursement
On November 10, 2010, the Centers for Medicare and Medicaid Services posted a Request For Information Regarding Accountable Care Organizations and the Medicare Shared Savings Program.
CMS is seeking comments on the multiple aspects regarding the formation and operation of an Accountable Care Organization (ACO).
CMS Releases 2011 Medicare Physician Fee Schedule
By Michael Cassidy on
Posted in Medicare & Reimbursement
The 2011 Medicare Physician Fee Schedule proposes to reduce the Medicare SGR converson factor by 6.1 % , in addition to the postponed 2010 SGR reduction of 23 % that will go into effect on Dec. 1, 2010 if that year old issue is not addressed.
Among many other items in the 2023 page document…
Highmark Revises Concurrent Care Guidelines
By Michael Cassidy on
Posted in Medicare & Reimbursement
In the June 2010 issue of the Highmark PRN, Highmark announces that its Concurrent Care Guidelines have changed. The article does not explain the nature of the change, so it is important for all providers to review the policy as it now exists to determine how it applies to them.