Release by CMS caps months of debate by stakeholders Long awaited and hotly debated, the 2019 Medicare Physician Fee Schedule (MPFS) and Quality Payment Program (QPP) final rules have been on the minds of healthcare shareholders since late July, when the Centers for Medicare & Medicaid Services (CMS) released proposed rules…
Major overhaul to physician reimbursement is proposed. The Centers for Medicare & Medicaid Services (CMS) revealed the proposed rule for Medicare Physician Fee Schedule (MPFS), in conjunction with the 2019 Quality Payment Program (QPP) in the Federal Register on July 27. The deadline to comment on this proposal is Sept.…
A Medicare Diabetes Prevention Program (MDPP) expanded model has been proposed for the 2018 Medicare Physician Fee Schedule (MPFS). This is a lifestyle change program designed to prevent the onset of Type 2 diabetes among certain Medicare beneficiaries diagnosed with pre-diabetes. Background Beginning in 2018, Medicare will provide coverage services…
Since the December 2015 passage of Section 603 of the Bipartisan Budget Act of 2015, dealing with new, off-campus, provider-based clinics/operations has become challenging. The basic idea of Section 603 is that these new off-campus clinics should be paid at a site-neutral level, which involves the Medicare Physician Fee Schedule…