Tagged with Medicare Physician Fee Schedule

Physician Billing in 2022: 10% Medicare cut!

Physician billing rates for 2022 are now official with publication of the Medicare Physician Fee Schedule Final Rule. It includes the 9.75% cut from the earlier Interim Rule, some tweaks to telehealth and QPP/MIPS updates

A 10% Cut to 2022 Physician Reimbursement?

Physicians and the medical billing industry have gotten used to annual debates and last-minute rescues to avoid across the board cuts to Medicare reimbursement. But 2022 physician reimbursement may “take the cake.”  The bottom line: without intervention from Congress, Medicare's 2022 physician reimbursement will be cut by 9.75% vs. 2021. How is this possible? Pending…

CMS has Published the Physician Fee Schedule for 2020. The Time to Get Ready is Now.

By David Nicholson, Executive Vice President CMS has issued its final rule for the 2020 Medicare physician fee schedule, effective January 1. With the added complexity to billing and coding for physicians, how you manage the revenue cycle process for the practice is more important than ever.  For your convenience, I have summarized the major…

ACR Seeks Urgent Action Opposing Cuts to Radiology

The American College of Radiology (ACR) is seeking help in its efforts to urge Congress to stop CMS from implementing proposed changes to the Evaluation and Management (E/M) Codes that could result in severe cuts to radiology.

CMS Releases CY 2019 Physician Fee Schedule Final Rule

On November 1, CMS released its Medicare Physician Fee Schedule final rule for calendar year (CY) 2019. The latest update includes changes to the Quality Payment Program as well as documentation and payment adjustments for evaluation and management services.

CY 2019 OPPS and ASC Payment System Final Rule Released

CMS has released its Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule for the next calendar year. According to the agency, the policies adopted in the CY 2019 final rule will help lay the foundation for a patient-driven healthcare system and will also strengthen the Medicare program by providing more choices and lower cost options.

2018 QPP and MPFS Final Rules Released

CMS has released final rules for the 2018 Medicare Physician Fee Schedule (MPFS) and the Quality Payment Program (QPP). The rules, scheduled to take effect January 1, 2018, address changes within the fee schedule as well as other Medicare Part B payment policies, such as changes to the Medicare Shared Savings Program.

CMS Releases Proposed 2018 Medicare Physician Fee Schedule (MPFS) and Outpatient Prospective Payment System (OPPS)

CMS has released two proposed rules regarding Medicare reimbursement and requirements. The 2018 Proposed Medicare Physician Fee Schedule (MPFS) Proposed Rule addresses Medicare payment and quality provisions for physicians in 2018 and the 2018 Proposed Update to the Outpatient Prospective Payment System (OPPS) will update the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program.

Aetna: Payment Reduction for X-Rays Using Film

Applicable to the technical component, claims billed with modifier FX to indicate X-ray imaging services were provided using film reduces will be subject to a 20% reduction.

CMS Updates cEQM Table for ECs and EPs for 2017 Performance Period

CMS has published an updated table accompanying the 2016 eCQM specifications for the 2017 performance period. The updated table removes the previous meaningful use domains and now aligns with the domains listed in CY 2016 Medicare Physician Fee Schedule, as well as the MIPS and Advanced APM tracks of the Quality Payment Program.

AdvantEdge
AdvantEdge