Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Medicare

Final Year’s Results for the PQRS and Value Modifier Programs Now Available

The Medicare PQRS and Value Modifier programs may feel like a distant memory for providers who are now in the thick of trying to figure out the new MACRA Quality Payment Program guidelines. Unfortunately, some providers may still experience the negative effects of these sunsetting programs as the Centers for Medicare and Medicaid Services releases the results of the final reporting year and how they will affect provider payments. Read more

ASA Hopes to Make 2018 QPP More Anesthesia-Friendly

The ASA recently submitted comments to CMS related to the 2018 Quality Payment Program Proposed Rule. The goal of their 28-page letter, according to a prepared statement by the ASA, is to ensure “physician anesthesiologists have ample opportunities to meaningfully participate and succeed in either the Merit-based Incentive Payments System or Advanced Alternative Payment Models pathways under the QPP.” Read more

Medicare to Remove Social Security Numbers from Medicare Cards

Medicare will soon begin replacing beneficiaries’ social-security-based Health Insurance Claim Number with new randomly-assigned Medicare Beneficiary Identifiers (MBI) to help protect against fraud and identity theft. Congress mandated the change through the Medicare Access and CHIP Reauthorization Act (MACRA) with an April 2019 deadline. Read more

Eligibility, Hardship Exemptions, and Special Status: Decoding the Vocabulary of MIPS

As more and more details of the MIPS program are distributed, it would be easy for providers to get confused about the difference between phrases like “special status,” “eligibility requirements,” and “hardship exemptions.” So what does “special status” mean? Who qualifies for a hardship exemption? And are you even eligible to participate in the program? Read more

Proposed Changes to the Medicare Fee Schedule that Could Affect Anesthesiologists

Some physicians may benefit from future changes in Medicare billing policy as outlined in the proposed Medicare Physician Fee Schedule released earlier in June, but probably not anesthesiologists. CMS is asking for comments on a reduced anesthesia conversion factor, revaluing of anesthesia procedures during GI procedures, and other proposed changes by September 11. Read more

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