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
Medicare & Reimbursement
CMS Releases Proposed 2011 Medicare Physician Fee Schedule
By Michael Cassidy on
Posted in Medicare & Reimbursement
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.
CMS Releases Proposed ASC 2011 Fee Schedule
By Michael Cassidy on
Posted in Medicare & Reimbursement
2.2 % Medicare Physician Fee Increase Enacted for June1, 2010
By Michael Cassidy on
Posted in Medicare & Reimbursement
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 6 Month SGR Fix – House Votes Next Week
By Michael Cassidy on
Posted in Medicare & Reimbursement
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. …
AMA Releases Guidance On Medicare Physician Fee Decrease
By Michael Cassidy on
Posted in Medicare & Reimbursement
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 …
CMS Extends Medicare Claim Hold Until June 17, 2010
By Michael Cassidy on
Posted in Medicare & Reimbursement
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…
10 Day Medicare Hold for June
By Michael Cassidy on
Posted in Medicare & Reimbursement
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…
Houses Passes SGR Medicare Fix But Senate Adjourns For Holiday
By Michael Cassidy on
Posted in Medicare & Reimbursement
The AMA issued the following news release regarding the Medicare Sustainable Growth Rate Medicare physician fee cuts scheduled to go into effect on JUne 1, 2010.
Congress failed to address this year’s Medicare physician payment cut before the June 1 deadline next week. Although the U.S. House of Representatives passed legislation at the last minute to …
Medicare SGR Developments
By Michael Cassidy on
Posted in Medicare & Reimbursement
The U.S. House of Representatives is expected to consider legislation to block the pending 21.2 percent cut to physician Medicare payments soon. The cuts will take effect June 1 unless final legislation is signed into law before then. The proposed bill, H.R. 4213, “The American Jobs and Closing Tax Loopholes Act of 2010” also includes numerous other…