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What will the Supreme Court ruling mean for physicians?

What will the Supreme Court ruling mean for physicians?

Part B News has compiled a list of the Patient Protection and Affordable Care Act provisions that could be affected by the Supreme Court’s Thursday ruling on the law. Anything you want to know about that we didn’t mention? Let us know at klong@decisionhealth.com.

  • CMS incentive programs, such as the electronic health record (EHR) incentive, e-Prescribing, Physician Quality Reporting System (PQRS) – While the health care reform law did not establish the programs, it does have provisions that make changes to them.
  • Primary care programs, such as the Primary Care Incentive Payment (PCIP) program and Comprehensive Primary Care Initiative (CPCI)
  • New preventive services, such as the annual wellness visit (AWV)
  • Overpayment rule requiring providers to return overpayments within 60 days of identifying them
  • Mandatory compliance plans
  • Face-to-face encounter documentation requirement for certifying patients for home health services
  • Enrollment screening by risk levels, which are based on provider or facility type
  • Expansion and effect on Medicaid services
  • Medicaid recovery auditors (RACs)
  • Accountable care organizations (ACOs), care transition demos, bundled payment model
  • Employee insurance requirements
  • Payment suspensions
  • Independent Payment Advisory Board
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