CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access Rule Would Expand Access to Telehealth Services, Enhance Diabetes Prevention Programs The Centers for Medicare & Medicaid Services (CMS) is proposing changes to address the widening gap in health equity highlighted by the COVID-19 Public Health Emergency (PHE) and to expand patient access to […]
On November 1, CMS issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) effective on or after January 1, 2020. Payment Provisions: Ratesetting and conversion factor CMS is finalizing a series of standard technical proposals involving practice expense, including […]
As part of CMS’s annual changes to the Medicare Physician Fee Schedule and Quality Payment Program, the agency’s proposals are aimed at reducing burden, recognizing clinicians for the time they spend with patients, removing unnecessary measures and making it easier for them to be on the path towards value-based care. Last year, the Trump Administration finalized […]
Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]
Summary: In their continuing effort to improve the Medicare Program, CMS has created the Quality Payment Program (QPP), which provides two options (based on defined criteria): MIPS (Merit-based Incentive Payment System) and APMs (Advanced Alternative Payment Models). QPP ends the SGR (Sustainable Growth Rate) formula and uses reporting data to validate important metrics. More details […]
CMS today issued this Final Rule (with comment period). SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repeals the Medicare sustainable growth rate (SGR) methodology for updates to the physician fee schedule (PFS) and replaces it with a new approach to payment called the Quality Payment Program that rewards the delivery of […]