What surgeons should know about… 
Medicare enrollment and participation(0)
This article provides guidance to assist Fellows in navigating their contractual relationships with the Centers for Medicare & Medicaid Services.
Medicare participation and enrollment
Physicians, nonphysician practitioners, and other Medicare Part B providers must enroll in the Medicare program to be paid for the covered services and items they provide to Medicare beneficiaries. Providers must make their 2019 Medicare determinations by December 31. As the deadline approaches and providers consider their options with respect to Medicare participation, this column […]
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.
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.
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.
More in this category
- The 2018 Inpatient Prospective Payment System final rule
- The New Medicare Card Project
- The Merit-based Incentive Payment System for small and rural practices
- Alternative Payment Models
- Health insurance audit processes, penalties, and appeals
- Postoperative data reporting for global services
- Reporting global codes data in 2017
- The benefits of attending a 2017 ACS Surgical Coding Workshop
- Understanding Medicare Part B incident to billing
- Meeting meaningful use requirements in 2016
- Medicaid program expansion
- The Physician Compare website
- Preparing for MACRA implementation
- The one-year grace period for correct use of ICD-10 codes
- Successfully navigating the transition to ICD-10 terminology
