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ONLINE FIRST: What surgeons should know about…Quality Payment Program in 2021(0)

January 8, 2021

Several finalized requirements for QPP participation in 2021 are identified, specifically the MIPS and APM pathways.

Table 1. PAR and non-PAR reimbursement

Medicare enrollment and participation

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

What Surgeons Should Know About...

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 […]

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.

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