The 2014 OIG Work Plan includes the following:
Policies and Practices. We will determine the impact of subordinate facilities in hospitals billing Medicare as being hospital based (provider based) and the extent to which such facilities meet CMS’s criteria. Context—Provider-based status allows a subordinate facility to bill as part of the main provider. Provider-based status
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On Friday, Congressional lawmakers approved an extension to the Middle Class Tax Relief and Job Creation Act of 2012,1 which contains a “doc fix” preventing a 27.4% cut in Medicare physician payments that was set to begin on March 1, 2012.
Continue Reading Lawmakers Approve the “Doc Fix” Freezing
Medicare pay cut averted; Congress OKs
two-month patch
Physicians got a brief reprieve from a 27 percent Medicare pay cut Friday when the U.S. House of Representatives reached agreement with the Senate on a two-month extension of important policies that expire on Jan. 1.
The U.S. Senate last week voted to extend current Medicare …
Supercommittee failure leaves 27 percent Medicare payment cut in place With the Joint Select Committee on Deficit Reduction failing to reach agreement on a deficit-reduction proposal, physicians still face a 27 percent cut in Medicare physician payments scheduled to take effect Jan. 1. Congress has missed an opportunity to address the nation’s fiscal problems, stabilize…
CMS ANNOUNCES POLICY, PAYMENT RATE CHANGES FOR THE PHYSICIAN FEE SCHEDULE IN 2012
The Centers for Medicare & Medicaid Services (CMS) today issued a final rule with comment period that updates payment policies and rates for physicians and nonphysician practitioners (NPPs) for services paid under the Medicare Physician Fee Schedule (MPFS) in calendar year (CY)
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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…
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…
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
http://www.cms.gov/transmittals/downloads/R828OTN.pdf
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…
