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
2022 Radiology Billing: Positive and Negative
Our radiology billing 2022 roundup details positive factors like Low Dose CT screening, PET scans and more. But Medicare rates are a negative
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…Radiology Reimbursement Hit by 2022 MPFS Changes
Radiology reimbursement will be hit by proposed MIPS and clinical labor rate changes in the 2022 Medicare Physician Fee Schedule. On top of other changes.
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 Publishes Final CY 2019 Medicare Physician Fee Schedule Rates and Policies
On November 1, CMS issued the Calendar Year (CY) 2019 Medicare Physician Fee Schedule (PFS) final rule. The final rule updates payment policies, payment rates, and other provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019.
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 Value Modifier Results and Payment Adjustment Factor Released
CMS has announced the results of the final 2018 Value Modifier and the adjustment factor that will be applied to clinicians receiving an upward payment adjustment.
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.
