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.
Medicare & Reimbursement
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
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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 |
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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.
Regional Health Care Fraud Summit
By Michael Cassidy on
Posted in Medicare & Reimbursement
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 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