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

Value-Based Payment Modifier

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

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

The High Cost of Quality Reporting

Back in mid-March, dozens of healthcare organizations sent a letter to newly-confirmed Centers for Medicare and Medicaid Services Administrator Seema Verma urging the federal government to reduce the burden and penalties associated with quality reporting. But just how high are those costs? Read more

2016 Medicare Physician Fee Schedule Final Rule: A Few Notes for Emergency Physicians

On October 30, the Centers for Medicare and Medicaid Services issued a final rule updating payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule on or after January 1, 2016. Among the many provisions of the proposed fee schedule, the following items are among those most noteworthy for the coming year, particularly for emergency physicians. Read more

2016 Medicare Physician Fee Schedule Final Rule: A Few Notes for Anesthesiologists

On October 30, the Centers for Medicare and Medicaid Services (CMS) issued a final rule updating payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule on or after January 1, 2016. Among the many provisions of the proposed fee schedule, the following items are among those most noteworthy for the coming year, particularly for anesthesiologists. Read more

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