Tag: payment
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CMS Issues Final Rule on 2018 Medicare Reimbursement
The Centers for Medicare & Medicaid Services has issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after Jan. 1, 2018. Background on the Physician Fee Schedule Payment is made under the PFS for services furnished by…
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CMS Issues More Protections to Physicians from Health Plan Credit Card Fees
In 2016 the Medical Association passed legislation to prevent physicians from unknowingly accepting virtual credit cards (VCC) and their hidden fees as a form of payment from health insurance companies and RCOs, even though the Medicaid RCO system in Alabama now appears to be defunct. Now, the Centers for Medicare and Medicaid Services (CMS) has…
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Judge Rejects Bid to Revive ACA Subsidies
A federal judge has denied several states’ attempt to compel the Trump administration to continue paying cost-sharing reduction payments. Attorney generals from 18 states and the District of Columbia had filed a motion in the U.S. District Court seeking a temporary injunction that would reinstate the payments, which the administration decided to end earlier this…
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CMS Cancels Some Bundled Payment Proposals
CMS released a proposed rule that reduced the number of mandatory geographic areas for the joint bundled payment program and cancels the cardiac bundled payment program model. In response to the cut, the American College of Cardiology released a statement indicating the ACC “will continue to work with CMS on opportunities for clinicians to participate…
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Free AQAF Assistance: Transition to MACRA’s Quality Payment Program
The Alabama Quality Assurance Foundation (AQAF), located in Birmingham, is a nonprofit consulting firm providing quality improvement assistance to the health care provider market through contract arrangements. Part of AQAF’s contract with CMS is to provide training to clinicians on the Medicare Access and CHIP Reauthorization Act (MACRA), the Merit-based Incentive Payment System (MIPS) or an…
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New Video Shows Physicians How to Avoid Medicare Payment Penalties
The Quality Payment Program (QPP) is the new physician payment system created by MACRA and is administered by the Centers for Medicare and Medicaid Services (CMS). Because the QPP is new this year, the Medical Association of the State of Alabama and the AMA want to make sure physicians know what they have to do…
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New Quality Payment Program Resources Available
The Centers for Medicare & Medicaid Services has revamped the look of the Quality Payment Program website and posted new resources to help you successfully participate in your first year of the Quality Payment Program. CMS encourages you to visit the website to review the following new resources: MIPS Quick Start Guide Outlines the steps…
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Would You Like to Comment on Proposed Changes to the EHR Incentive Programs?
The Centers for Medicare & Medicaid Services would like to hear from you on the FY 2018 Inpatient Prospective Payment System and Long Term Acute Care Hospital Proposed Rule by June 13, 2017. Click here to read the FY 2018 Inpatient Prospective Payment System and Long Term Acute Care Hospital Proposed Rule. Submit a Formal Comment by 5:00 p.m.…
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Deadline for Seeking Review of Potential Payment Penalties
Late last month, the Centers for Medicare and Medicaid Services posted information on its website that physicians can consult to determine whether they will be subject to 2017 payment penalties associated with the Physician Quality Reporting System (PQRS) and the Value Modifier. Physician practices that have concerns about the findings in their report(s) have until November…