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


2022 Proposed Medicare Physician Fee Schedule: What Anesthesiologists Need to Know

The Centers for Medicare and Medicaid Services recently published the proposed draft of the Medicare Physician Fee Schedule for 2022. In addition to the annual conversion factor updates, including the anesthesia conversion factor, the proposed rule includes several payment policy updates. We’ve highlighted a few of the biggest changes for anesthesiologists. READ MORE

When Medicare Denies As Secondary Payer

Some patients with Medicare also have other health insurance coverage through an employer or spouse’s employer, or on a case by case basis for accidents, injuries, or illnesses covered by workers compensation, liability, or no-fault Insurance. In those cases, Medicare serves as the secondary payer (MSP). In some situations, though, Medicare may deny a claim indicating that Medicare is the secondary payer when, in fact, you have no primary payer on file. When this is the case, what should you do? READ MORE

CMS Releases Critical Care CBRs for Second Year in a Row

The Centers for Medicare and Medicaid Services is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE

CMS Issues Waiver for Ground Ambulance Services Treatment in Place

A new waiver was issued by the Centers for Medicare and Medicaid Services (CMS) for ground ambulance services providing treatment in place as part of a COVID-19 protocol. Under authority provided through the American Rescue Plan Act of 2021, the new policy waives any requirements that an ambulance service must include the transport of an individual to receive Medicare payment. READ MORE

MIPS Extreme and Uncontrollable Circumstances Flexibilities Extended for 2020

The Centers for Medicare and Medicaid Services is automatically applying its extreme and uncontrollable circumstances policy to all MIPS eligible clinicians for the 2020 performance period. The agency also is reopening the MIPS EUC application for individual MIPS eligible clinicians, groups, virtual groups, and Alternative Payment Model Entities through March 31, 2021. READ MORE

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