Tag Archive for ‘physician reimbursement’

Medicare physician payment on the decline: It’s not your imagination

Medicare physician payment on the decline: It’s not your imagination

Congressional attempts to control Medicare physician spending through anti-inflationary policies are highlighted as are the future of Medicare payment updates under MACRA.

Dateline DC

Dateline DC: CMS releases two proposed payment rules

A summary of 2020 Medicare Physician Fee Schedule and Outpatient Prospective Payment System/Ambulatory Surgery Center proposed rule policies that could affect physician payment is provided.

Redefining surgical value in the Quality Payment Program

Redefining surgical value in the Quality Payment Program

Describes the College’s efforts to work with Congress and the Centers for Medicare & Medicaid Services to develop meaningful measures of surgical quality in the Quality Payment Program.

Coding and Practice Management

Modifier 51 or 59? How to correctly report multiple procedures

The correct use of modifiers 51 and 59 are explained, including case examples featuring clinical scenarios with correct coding.

2019 Medicare physician fee schedule

The 2019 Medicare physician fee schedule: An overview of provisions that will affect surgical practices

This article summarizes provisions in the 2019 Medicare physician fee schedule final rule that are relevant to general surgery and its related specialties.

What Surgeons Should Know About...

Medicare participation and enrollment

This column provides guidance to assist Fellows in navigating their contractual relationships with the Centers for Medicare & Medicaid Services.

What Surgeons Should Know About...

Qualified Medicare Beneficiary program billing requirements

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 2018 Medicare physician fee schedule: An overview of provisions that will affect surgical practices

This article summarizes provisions in the 2018 Medicare physician fee schedule final rule that are relevant to general surgery and its related specialties.

Medicare participation: Know your options

The three options for surgeons who participate in Medicare Part B are summarized, as are the steps for achieving participating in this program.

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.

Table 6

2016 ACS Governors Survey: Issues affecting surgical practice

Surgeons’ views on health policy and advocacy-related issues and their potential effect on general surgery practice, based on the findings of the 2016 ACS Governors Survey, are summarized.

Globe

Postoperative data reporting for global services

The Centers for Medicare & Medicaid Services is collecting claims-based data on postoperative visits provided in the 10- and 90-day global period.

2016 ACS Governors Survey: MACRA: Are surgeons ready?

Surgeons’ views of the payment reforms implemented through MACRA, based on the findings of the 2016 ACS Governors Survey, are summarized.

Globe

Reporting global codes data in 2017

This column describes the Centers for Medicare & Medicaid Services’ efforts to collect global surgical codes data from practitioners in nine states..

The 2017 Medicare physician fee schedule: An overview of provisions that will affect surgical practice

The 2017 Medicare physician fee schedule: An overview of provisions that will affect surgical practice

This article summarizes provisions in the 2017 Medicare physician fee schedule final rule that are relevant to general surgery and its related specialties.

Doctor with file

Modifier 25 under fire: Are you using it correctly?

Suggestions for avoiding overuse or misuse of modifier 25 to reduce the risk of an audit and repayment demand by payors are detailed in this month’s column.

Preparing for MACRA implementation

This column describes the reimbursement systems that will replace the sustainable growth rate formula and offers recommendations on how surgeons can prepare for the transition.

Provisions in the 2016 Medicare physician fee schedule that will affect surgical practice: An overview

This article summarizes the Medicare physician fee schedule provisions that will affect reimbursement for surgeons in 2016.

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Chicago, IL 60611

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