What surgeons should know about… 
The Quality Payment Program in 2021(0)
The Centers for Medicare & Medicaid Services (CMS) finalized several updates to meet the participation requirements for year five (2021) of the Quality Payment Program (QPP). The QPP comprises two pathways for participation—the Merit-based Incentive Payment System (MIPS) or sufficient participation in an Advanced Alternative Payment Model (A-APM). If you participate via MIPS, your score […]
ONLINE FIRST: What surgeons should know about…Quality Payment Program in 2021
Several finalized requirements for QPP participation in 2021 are identified, specifically the MIPS and APM pathways.
Medicare enrollment and participation
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.
More in this category
- The 2018 inpatient-only list
- Regulatory burden reduction
- 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
