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Pay for chronic care management easier in proposed fee schedule — but still a big lift

07/14/2014

A program to pay for chronic care management (CCM) that CMS proposed last year has undergone changes in the new proposed 2015 Medicare physician fee schedule: While the new rules make it easier to fulfill the service with non-physician clinical staff, you’ll have to jump through some hoops to earn the $41.92 CMS proposes to pay.

PQRS: Prepare for increased requirements, cuts to claims-based measures

07/14/2014

by: Julia Kyles

The quality reporting changes in the proposed 2015 physician fee schedule are so drastic that medical practices should start working on their quality reporting game plan now, a health care consultant warns. If Medicare implements all of the proposed changes, practices that wait until the end of the year could struggle to meet the tougher quality reporting requirements.

CMS plans to phase 10-, 90-day global periods to zero-day periods by 2018

07/14/2014

by: Scott Kraft

A new proposal to phase out 10- and 90-day global periods means surgeons could bill follow-up visits separately, but expect payments for surgical services to be cut.

Open payments proposals mean more payments for practices to track

07/14/2014

by: Ben Hartman

You could have to monitor two new types of payments that applicable manufacturers make to your physicians.

CMS proposals: Changes to locum tenens, pay cut details in fall and more

07/14/2014

by: DecisionHealth staff

Because CMS has “heard anecdotally that locum tenens physicians are used to fill staffing needs” rather than to bridge a temporary gap, the agency worries about untoward consequences and could make changes to the program.

Online exclusive: More CMS payment, policy and coding proposals

07/14/2014

by: DecisionHealth staff

Part B News is providing exclusive online coverage of the proposed 2015 Medicare physician fee schedule with analysis of these CMS proposals.

Payment for E/M office visits steadily increases 2011 to 2015

07/14/2014

by: Karen Long

By next year, your reimbursement for E/M office visits will have climbed by as much as 6.5% since 2011, according to Medicare payment rates and the proposed 2015 Medicare physician fee schedule.

2015 proposed payment changes for selected codes

07/14/2014

by: Karen Long

Practices will see slight adjustments to payments for common codes, according to the following selection from table 61 of the proposed 2015 Medicare physician fee schedule.

Proposed 2015 Medicare physician fee schedule

07/14/2014

Read the whole 609-page proposed 2015 Medicare physician fee schedule here.

Further refinements ahead for value modifier, Physician Compare programs

07/10/2014

by: Julia Kyles

All practices would be subject to the value modifier next year based on their participation in the physician quality reporting program (PQRS), and doctors should watch for more tweaks to the Physician Compare website, according to the proposed 2015 Medicare physician fee schedule (see story).

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