What surgeons should know about…
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.
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.
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.
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.
More in this category
- 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
- Medicare and Medicaid audits