Tag Archives: Medicare

Final CMS Accountable Care Organization Regulations Provide ACOs more Flexibility

CMS has finally released the final rule for the Medicare Shared Savings Program, which is the program that establishes the rules for Accountable Care Organizations (ACOs). The initial industry objections to the ACO concept and the proposed regulations was that it was so complicated, so limited and potentially so expensive that it would be impossible, … Continue Reading

Deadline for Medicare E-Prescribing is June 30, 2011

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 … Continue Reading

Congress Passes Medicare Physician Fee Schedule One Year Extension

  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 … Continue Reading

Senate Passes One Year Medicare Physician Fee Schedule Fix

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 halt of … Continue Reading

Medicare SGR Developments

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 … Continue Reading

Medicare Physician Fee Schedule SGR 21.3% Decrease April 1, 2010

  Senate failure to pass 30-day extension causes 21.3 percent cut to Medicare physician payments on April 1.   The Senate has adjourned for 2 weeks without postponing the Sustainable Growth Rate (SGR) Medicare Physician Fee Schedule reduction. For the past several months, since the problem arose 1/1/10, carriers have responded by advising physicians to … Continue Reading

Alert!: CMS Warns of Physician Scam

The Centers for Medicare & Medicaid Services (CMS) has become aware of a scam where perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (MAC).  The fax instructs physician staff to respond to a questionnaire to provide an account information update within 48 hours in order to prevent … Continue Reading
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