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…
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.
The U.S. Department of Health and Human Services ("HHS") has approved a request by the State of Florida to get access to Medicaid data so they can use data mining techniques to identify suspicious patterns in claims according to a speech given by Secretary Sebelius as part of the Regional Health Care Fraud Summit in…
CMS published the payment policies under the 2011 Medicare Physician Fee Schedule on Tuesday, January 13, 2011. The Med Law Blog will be posting comments on significant provisions over the next several weeks. Please let us know if there is a particular issue you would like addressed.
The President Signs the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 — 2.2 Percent Medicare Physician Fee Schedule Update for June 1, 2010, Through November 30, 2010
On June 25, 2010, President Obama signed into law the “Preservation of Access to Care for Medicare Beneficiaries and Pension…
Senate passes six-month SGR fix
The U.S. Senate passed an amended version of H.R. 3962, now called the “Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010,” by unanimous consent this afternoon. This legislation provides a 2.2 percent Medicare physician payment update for six months, from June 1 through Nov. …
CMS will process claims tomorrow, June 18,
with 21 percent cut
As the clock continues to tick toward the June 18 final deadline for implementation of the 21.3 percent cut in Medicare physician payments produced by the sustainable growth rate (SGR) formula, U.S. Senate debate continued June 17 over H.R. 4213, the American Jobs and …
The 2010 Medicare Physician Fee Schedule
The Continuing Extension Act of 2010, enacted on April 15, 2010, extended the zero percent (0%) update to the 2010 Medicare Physician Fee Schedule (MPFS) through May 31, 2010. At this time, Congress is debating the elimination of the negative update that took effect June 1, 2010. The Centers…
The Centers for Medicare & Medicaid Services has instructed its contractors to hold claims containing services paid under the Medicare physician fee schedule for the first 10 business days of June.
Congressional leaders are trying to avert a 21 percent payment cut scheduled to take effect June 1 under the current fee schedule.
The 10-day…
