Physician Fee Schedule (PFS)/MACRA/QPP
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.
On July 13, CMS released its proposed rule for calendar year (CY) 2018 with changes to the Medicare physician fee schedule (PFS) and other revisions under Medicare Part B. This advisory summarizes the proposed rule.
Physician practices that served a disproportionate share of medically and socially high-risk patients in the first year of the Medicare Physician Value-Based Payment Modifier Program were more likely to receive a penalty compared with other practices, according to a study published today in the…
The AHA today updated its MACRA Tracker and issue brief to help hospitals and their clinician partners prepare for the second year of the Centers for Medicare & Medicaid Services’ physician quality payment program created by the Medicare Access and CHIP Reauthorization Act of 2015.
MACRA Tracker: Proposed Components for the CY 2018 Physician Quality Payment Program