If you’re a provider or supplier that furnishes the technical component of advanced diagnostic imaging (ADI) services and bill Medicare under the Physician Fee Schedule for these services, you should know that you must be accredited by Sun Jan 1, 2012. Those not accredited by that deadline will not be able to bill Medicare
Medicare & Reimbursement
CMS Releases 2012 Medicare Physician Fee Schedule
By Michael Cassidy on
Posted in Medicare & Reimbursement
The 2012 Medicare Physician Fee Schedule is out!
It contains a proposed Medicare Conversation Factor of $23.9635. This is a 29.5% DECREASE, mandated by the Sustainable Growth Rate (SGR) formula.
Med Law Blog will be presenting analysis of key additional provisions in the coming weeks.
Deadline for Medicare E-Prescribing is June 30, 2011
By Michael Cassidy on
Posted in Medicare & Reimbursement
Eligible professionals (EPs) must successfully e-prescribe for Medicare patients 10 times before June 30, 2011 using claims-based reporting to avoid the penalty in 2012. Earning the e-prescribing incentive for 2011 will not necessarily exempt an EP or group practice from the 1 percent penalty starting on January 1, 2012. For 2013, the 1.5 percent penalty is based…
Republican Senators Seek ACO Revisions
By Michael Cassidy on
Posted in Medicare & Reimbursement
Seven GOP Senate Finance members wrote a letter to HHS Secretary Kathleen Sebelius and CMS Administrator Don Berwick suggesting that due to the outpouring of concern from the provider community — including key health care integrated systems such as the Mayo Clinic, Billings Clinic, Intermountain Healthcare and Cleveland Clinic — CMS officials should pull the…
CMS Launches Innovation Website
By Michael Cassidy on
Posted in Medicare & Reimbursement
Wednesday, March 23, 2011
CMS Innovation Center Website Launched To Collect Best Practices
On Monday, CMS launched a website for the Center for Medicare and Medicaid Innovation to serve as a warehouse of new care models for Medicare, Medicaid and the Children’s Health Insurance Program, Government Health ITreports.
Innovation Center Details
The new
…
CMS Estimates 29.9% Decrease for 2012 Medicare Conversion Factor
By Michael Cassidy on
Posted in Medicare & Reimbursement
The Social Security Act requires CMS to provide annual estimates to the Medicare Payment Advisory Commission (MedPAC) for both the Medicare Physician Fee Schedule Conversion Factor (SCF) and the Sustainable Growth Rate (SGR). According to the letter just released by Jonathan Blum, Deputy Administrator and Director for CMS, the 2012 Medicare Physician Fee Schedule Conversion Factor…
Medicare ASC 2011 Fee Schedule
By Michael Cassidy on
Posted in Medicare & Reimbursement
Highmark Medicare has posted the 2011 Medicare ASC fee schedule for PA, NJ, MD and Delaware/Metro DC.
https://www.highmarkmedicareservices.com/partb/reimbursement/ascfee11.html
CMS Releases 2011 Medicare Conversion Factor = $33.9764
By Michael Cassidy on
Posted in Medicare & Reimbursement
http://www.cms.gov/transmittals/downloads/R828OTN.pdf
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…