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

Medicare

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

Proposed Changes to the Medicare Fee Schedule that Could Affect Emergency Physicians

Emergency physicians may benefit from future changes in Medicare billing policy outlined in the proposed Medicare Physician Fee Schedule released earlier in June. CMS is asking for comments on two different guidelines that could ease documentation guidelines and improve reimbursement for coding and billing E/M services in the emergency department. Read more

Proposed Changes to the Medicare Quality Payment Program

A proposed rule updating the Medicare Quality Payment Program was released on June 30, 2017, by the Centers for Medicare and Medicaid Services. While changes were recommended to both tracks of the QPP (Advanced APMs and Merit-Based Incentive Payment System), we will highlight those affecting MIPS since more physicians will participate in that track, at least in the initial years of the program. Read more

The Problem with Comparing ER Charges

Emergency physicians charge uninsured or out of network patients as much as four times more than what they are willing to accept in payment from Medicare, according to a recent study from Johns Hopkins School of Medicine. But the American College of Emergency Physicians says the study relies on flawed methodology and incorrect assumptions about the cost of emergency care. Read more

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