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What Surgeons Should Know About...

Qualified Medicare Beneficiary program billing requirements(0)

September 1, 2018

The restrictions regarding physicians’ ability to seek reimbursement for cost-sharing amounts from Qualified Medicare Beneficiary (QMB) enrollees are summarized as are practices to ensure compliance with QMB billing rules.

What Surgeons Should Know About...

The 2018 inpatient-only list

Provides an update on the Medicare inpatient-only list—which refers to procedures identified by CMS as typically provided in the inpatient setting and therefore not paid under OPPS—is provided.

Surgeons in the OR

Regulatory burden reduction

This column provides an overview of efforts to reduce regulatory burdens on surgeons, looks at the regulations that are most onerous for surgeons, and describes ACS recommendation for reducing or eliminating these encumbrances.

The 2017 Medicare physician fee schedule

The 2018 Inpatient Prospective Payment System final rule

Explains how the 2018 CMS Inpatient Prospective Payment System final rule affects surgeons, and describes the changes made to the Hospital Value-Based Purchasing program that are relevant to surgical care.

What Surgeons Should Know...

The New Medicare Card Project

The steps providers can take to prepare for the Centers for Medicare and Medicaid Services New Medicare Card Project are outlined.


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