Providers who received more than $10,000 from the COVID-19 Provider Relief Fund between July 1, 2020, and December 31, 2020, and have not reported on the use of those funds may qualify for a reporting extension. READ MORE
Out-of-network surprise billing protections through the No Surprises Act have been in place since January 1, 2022, based on several final rules released last year. Now, additional guidance and FAQs have been released, along with an announcement about the impending launch of the online Independent Dispute Resolution (IDR) portal. Here’s a breakdown of recent updates.
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For the past two years, healthcare clinicians and facilities have received financial assistance from the federal government to help cover the costs and losses related to the COVID-19 pandemic. While the nation is still under a public health emergency, the relief funding is beginning to dry up, and providers who miss reporting requirements may be forced to return funds or face consequences. Here is an overview of recent Provider Relief Fund program changes and deadlines. READ MORE
The Centers for Medicare and Medicaid Services recently published the final rule of the Medicare Physician Fee Schedule for 2022. In addition to changing the payment rates for 2022, CMS also finalized changes to several payment policies. We’ve highlighted a few of the biggest for anesthesiologists below. READ MORE
The Centers for Medicare and Medicaid Services recently published the final rule of the Medicare Physician Fee Schedule for 2022. In addition to changing the payment rates for 2022, CMS also finalized changes to several payment policies. We’ve highlighted a few of the biggest. READ MORE
A second interim final rule outlining the details of the No Surprises Act provides much-anticipated guidelines related to the Independent Dispute Resolution process between payers and providers and also lays out requirements for good faith estimates and a patient-provider dispute resolution for uninsured (or self-pay) individuals. READ MORE
Earlier this month, the American Society of Anesthesiologists released their annual Commercial Payer Survey results for 2021. Below you’ll find our brief analysis to help you evaluate and negotiate your own managed care contracts for 2022. READ MORE
The Health Resources and Services Administration recently made several announcements about past and future COVID-19 relief payments for healthcare providers, including two new allocations that providers can apply for beginning September 29, 2021. READ MORE
Both payers and providers are seeking some relief on the quick turn-around of the No Surprises Act, which is supposed to become effective January 1, 2022. And with the recent announcement of delays to certain portions of the Interim Final Rules implementing the surprise billing provisions of the act, it seems like the Biden administration is listening. READ MORE
CMS recently released MIPS performance feedback and final scores for performance year 2020, along with associated MIPS payment adjustment information for payment year 2022. The performance threshold for the 2020 MIPS performance year was 45 points. That means MIPS eligible clinicians who scored 45 points or more will receive a neutral or positive payment adjustment, and those scoring less than 45 points will receive a negative payment adjustment in the 2022 MIPS payment year. READ MORE
