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The 2017 OPPS Final Rule with comment period is now available (effective January 1, 2017). This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2017 to implement applicable statutory requirements and changes arising from our continuing experience with […]
This major final rule addresses changes to the physician fee schedule and other Medicare Part B payment policies, such as changes to the Value Modifier, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This final rule […]
Visit Hospital Compare View the CMS Fact Sheet from July 27, 2016 (Quality Star Ratings Added) View the CMS Fact Sheet from May 4, 2016 CMS information regarding Hospital Compare is here
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 […]
CMS announced an 18-month pilot program to reduce medical record review for certain physicians while continuing to protect program integrity. Under the program, providers practicing within certain Advanced Alternative Payment Models (Advanced APMs) will be relieved of additional scrutiny under certain Medicare medical review programs. CMS has a statutory duty to protect the Medicare Trust […]
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Search the Exclusions Database LEIE Database 08-2017 Updated LEIE Database (CSV) 08-2017 Exclusions (CSV) 08-2017 Reinstatements (CSV) Monthly Supplement Archive Profile Updates 08-2017 Profile Corrections Current Record Layout Current Database Record Layout Instructions The List of Excluded Individuals/Entities (LEIE) is available in different versions, and all are .dbf files zipped into self-extracting executable (exe) files. Save this .exe […]
