Coronavirus (COVID-19) Update from CIPROMS
The well-being of our employees and service to our clients are top priorities. READ MORE
Bridging Three Years of MIPS: What You Need to Know about 2019, 2020, and 2021
Once again the first few months of the new year require physicians and other healthcare providers to bridge three different program years of CMS’s Merit-based Incentive Payment System (MIPS). Here’s a look at what you need to know about the 2019, 2020, and 2021 MIPS performance periods in the new year. READ MORE
Unpacking the No Surprises Act
After years of negotiation and proposed legislation, a last-minute COVID-19 relief bill passed on December 22, 2020, also included a ban on surprise billing under the No Surprises Act, which means patients will be held harmless for any bills for out-of-network emergency or air ambulance services and many out-of-network services provided at in-network facilities. READ MORE
Latest COVID-19 Relief Package: What Physicians Can Expect
An 11th-hour COVID-19 relief package was approved by both houses of Congress a few days before Christmas and signed into law by President Trump a few days after. The legislation, second in size only to the CARES Act passed last spring in the early days of the pandemic, provides wide-ranging relief to multiple sectors throughout the country, including physicians. READ MORE
7 Things to Know About Medicare for 2021
As we begin 2021, the Centers for Medicare and Medicaid Services has released a variety of information healthcare providers need to know about billing Medicare in the new year. We’ve created a short list of the top seven things providers should know. READ MORE
4 Things to Know About Indiana Medicaid for 2021
As we begin 2021, the Indiana Health Coverage Programs has released a variety of information Indiana healthcare providers need to know about billing Medicaid in the new year. We’ve created a short list of the top four things you should know. READ MORE
2021 Medicare Physician Fee Schedule Final Rule: What Anesthesiologists Need to Know
Earlier this month, CMS published the final rule of the 2021 Medicare Physician Fee Schedule. After legislatively mandated adjustments, the 2021 conversion factor is $32.41, and the 2021 anesthesia conversion factor is $20.05, each down about 10 percent from 2020. In addition to changing the payment rates for 2021, the Final Rule also makes changes to several payment policies. We’ve highlighted a few of the biggest changes that will impact anesthesiologists. READ MORE
CPT Coding Changes to Know About for 2021
Earlier this fall, the American Medical Association released the 2021 Current Procedural Terminology code set. In this post, we highlight several noteworthy ones.
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2021 Medicare Physician Fee Schedule Final Rule: What You Need to Know
Earlier this month, CMS published the final rule of the 2021 Medicare Physician Fee Schedule. After legislatively mandated adjustments, the 2021 conversion factor will be $32.41, a 10 percent decrease from the 2020 PFS conversion factor. In addition to changing the payment rates for 2021, the Final Rule also makes changes to several payment policies. We’ve highlighted a few of the biggest changes. READ MORE
2021 Medicare Physician Fee Schedule Final Rule: What Emergency Physicians Need to Know
Earlier this week, CMS published the final rule of the 2021 Medicare Physician Fee Schedule. After legislatively mandated adjustments, the 2021 conversion factor will be $32.41, a 10 percent decrease from the 2020 PFS conversion factor. We’ve highlighted a few of the biggest changes that will impact emergency physicians. READ MORE
Critical Care Targeted for Medicare Comparative Billing Reports
Beginning in November, the Centers for Medicare and Medicaid Services began releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services, including emergency physicians. READ MORE
