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11/13/2023
The conversion factor (CF) cuts that CMS floated earlier in the year are now confirmed — and heightened. Part B providers will have to prepare for a net 3.4% payment decrease across services in 2024.\
11/13/2023
You can now fully prepare for the launch of the long-anticipated and much-disputed add-on code G2211 (Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition or a complex condition).
11/13/2023
You can report the add-on code G2211 when providers take a long-term view of patients’ health status. But some situations may arise where you see a patient for a “single, serious condition” and the code still applies. Consider the following scenario from CMS:
11/13/2023
CMS finalized its plans for community health integration (CHI) and principal illness navigation (PIN) services, two new types of care management services represented by three code pairs that will go into effect Jan. 1, 2024.
11/13/2023
Your providers can receive additional revenue when they check a patient for social determinants of health (SDOH), but the service requires patient selection, a standardized tool and follow up when the provider determines the patient has an unmet SDOH that impacts their treatment.
11/13/2023
The Quality Payment Program (QPP) changes in the final 2024 Medicare physician fee schedule deliver a reprieve to the Merit-based Incentive Payment System (MIPS) performance threshold but bring cuts to other value-based programs, with worse possibly to come.
11/13/2023
The proposed changes to behavioral health coverage that CMS calls among the most important in Medicare history are all finalized — and expanded.
11/13/2023
CMS has given participants in its premier ACO initiative, the Medicare Shared Services Program (MSSP), a year before they have to transition to a new standard for compliance with certified EHR technology (CEHRT) and mandatory digital clinical quality measures (CQM) reporting. But it appears many stakeholders are hoping for further reprieve.
11/13/2023
Discover additional policy changes contained in the final 2024 Medicare physician fee schedule, from misvalued services to split or shared billing policy and more. Get all the latest here:
11/13/2023
The final specialty-based fee projections look a lot like the ones CMS proposed several months ago. Setting the threshold at positive or negative 2%, a total of 10 specialties are on pace to see fee gains in 2024, while 18 are in the red.

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