Tag Archives: physician

HHS Proposed Rule Affects HIPAA Privacy Rule and Background Check Reporting

The Department of Health and Human Services (HHS) has released a proposed rule that would modify the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule by allowing health care providers to make certain disclosures to the National Instant Criminal Background Check System (NICS).  The NICS aims to keep guns from being sold to those … Continue Reading

CMS Releases 2012 Medicare Physician Fee Schedule With 27.4% Decrease

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) … 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

Senate Postpones 23% SGR Medicare Physician Fee Schedule Cut One Month

Senate Acts to Avert Medicare Physician Fee Cut By Nora Colangelo and Jacqueline Finnegan* 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 … Continue Reading

2009 Physician Enrollment Changes for Medicare Eliminates Retroactive Billing

The 2009 Medicare Physician Fee Schedule made some changes regarding physician enrollment. The most significant change is the elimination of retroactive billing. Prior to the 2009 changes, Medicare permitted retroactive billing for up to 27 months following the effective date of a physician’s Medicare enrollment, to allow physicians to bill for services that they provided while the … Continue Reading