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Participation in the Merit-Based Incentive Payment System Value Pathway (MVP) program gives providers another opportunity to meet their quality payment participation goals this year.
A couple of new bills — or rather, retreads of old bills — demonstrate increased congressional interest in reforming prior authorization (PA) under Medicare Advantage (MA). While the success of these bills is not assured, a recent proposed rule shows CMS is willing to move on this issue itself, with Congress serving more as a cheerleader than as a legal authority.
CMS is launching a demonstration model that is not only aimed at dementia patients, a growing segment of U.S. health care consumers, but also designed to help these patients’ unpaid at-home caregivers via care coordination and "respite services."
Don’t miss out on yet more policy changes contained in the proposed 2024 Medicare physician fee schedule, from vaccine payments to the never-used Appropriate Use criteria and more. Get all the latest here:
A number of services in the E/M category are on track for big pay gains in CY 2024, led by behavioral health care management (99484), set for a 26% jump to $54 per service, and joined by two prolonged services codes (99415, 99416).


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