Physician Fee Schedule (PFS)/MACRA/QPP
CMS Nov. 2 issued a final rule with comment period updating the requirements of the quality payment program (QPP) for physicians and other eligible clinicians mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Select highlights follow in this Bulletin.
On Nov. 2, CMS released the calendar year (CY) 2018 physician fee schedule (PFS) final rule. In addition to the standard update to the payment system, the rule finalizes CMSs proposal to make significant additional site-neutral cuts in payment for services furnished in off-campus provider-based…
CMS issues final rule for CY 2018 MACRA physician QPP
The Centers for Medicare & Medicaid Services late today issued its final rule for the physician fee schedule for calendar year 2018. CMS estimates a 0.41% increase in physician payment rates for 2018 compared to 2017, after applying a 0.5% payment increase required by the Medicare…
The MACRA Physician Quality Payment Program Final Rule for CY 2018 continues a flexible approach to the MACRA's physician quality payment program urged by hospitals, health systems, and the more than 500,000 employed and contracted physicians with whom they partner to deliver care.
The Centers for Medicare and Medicaid Services (CMS) uses the Medicare Physician Fee Schedule (PFS) to determine how to reimburse physicians for their services. Under the PFS, Medicare considers various elements including the work the physician put in, the expenses incurred in providing care,…
The Centers for Medicare & Medicaid Services today officially withdrew its proposal to test new models for how Medicare Part B pays for prescription drugs provided in physician offices and hospital outpatient departments.
Overview of the MIPS and the Reporting Requirements
The AHA today expressed serious concerns with the Centers for Medicare & Medicaid Services’ proposal to significantly reduce the payment rate for “nonexcepted” services provided in off-campus provider-based departments under the physician fee schedule proposed rule for calendar year 2018.