30 Dec 2018

CMS SUPPLY NUMBER RATE REDUCTIONS FOR 2019 LOWEST FOR CLARIVEIN

  By Larry Storer The Centers for Medicare & Medicaid Services issued a final rule Nov. 1, 2018, that includes updates to payment policies, payment rates and quality provisions for services furnished under the Medicare Physician Fee Schedule on or after Jan. 1, 2019. The effect of CMS changes to

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14 Dec 2018

VOLUNTARY MACRA CODES MAY DETERMINE WHAT DOCTORS ARE PAID

New patient relationship categories and codes are one of the most important provisions of the Medicare Access and CHIP Reauthorization Act (MACRA), according to a piece in the New England Journal of Medicine. In January 2018, the billing-code modifiers, which allow clinicians to report their relationship to a patient at a

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01 Nov 2018

WISCONSIN MEDICAID WORK PROGRAM GETS CMS OK OCT. 31

The Centers for Medicare & Medicaid Services (CMS)  approved a waiver to implement work requirements in Wisconsin’s Medicaid program Oct. 31, making it the fourth state to enact such an approach.   Under the waiver, beneficiaries in the state’s BadgerCare program would have to engage in 80 hours a month of “community

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31 Oct 2018

CMS SEEKS COMMENT ON PROPOSED RULE TO USE IPI PAY MODEL BY DEC 31

The Centers for Medicare & Medicaid Services intends to test whether phasing down the Medicare payment amount for selected Part B drugs to more closely align with international prices will meet President Trump’s blueprint to lower drug costs and reduce out-of-pocket costs for patients. CMS is soliciting public comments by

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09 Oct 2018

CMS ANNOUNCES PARTICIPANTS IN NEW VALUE-BASED BUNDLED PAYMENT MODEL

  On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) announced that 1,299 entities have signed agreements with the agency to participate in the Administration’s Bundled Payments for Care Improvement – Advanced (BPCI Advanced) Model.  The participating entities will receive bundled payments for certain episodes of care as

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08 Aug 2018

MEDICAL GROUPS SEE PROGRESS IN CMS’s EHR APPROACH IN HOSPITAL RULE

Medical groups have applauded steps that the Centers for Medicare & Medicaid Services took to ease administrative burden through a new rule on hospital payments, while still pressing the agency for further changes in its approach to electronic health records. On Aug. 2, the CMS unveiled the final version of

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