Part B News | Editors' Blog

CMS releases 2012 fee schedule final rule

by: Grant Huang Nov 2, 2011

Your Medicare payments will fall by 27.4% in 2012, under a conversion factor of $24.6712, which is slightly less than the 29.5% cut projected by CMS earlier under the sustainable growth rate (SGR) formula. The difference is due to Medicare costs growing slightly slower than expected, the agency says. Of course, this 27.4% cut isn’t the final word, because Congress has always stepped in at the last minute to avert SGR cuts.

Proposed 2012 fee schedule less than half the size of 2011's

by: Grant Huang Jul 6, 2011

We're deep into the pages of the proposed 2012 Medicare Physician Fee Schedule and still haven't seen light at the end of the tunnel, but one thing is clear already: weighing in at 621 pages, this is one slim tome compared to the 2011 proposed fee schedule. The 2011 edition was 1,250 pages, which means this year's version is less than half the length, or 49.6% if you want to be precise. TIP: Read our initial fee schedule findings here, if you haven't already. The biggest reason for the big difference in size has to be the health reform law, which required CMS to start turning legislation into actual rulemaking.

CMS: Expect 2012 fee schedule proposed rule very soon

by: Grant Huang Jun 28, 2011

CMS is putting the finishing touches on its proposed 2012 Physician Fee Schedule and expects to release it "very shortly," in the words of Stewart Streimer, director of the agency's Provider Billing Group. This vague hint was one of the first announcements Streimer made during today's physician open door call.

Debt may sink your quality incentive program bonus check

by: Charles Fiegl Jan 28, 2011

Have you found that your quality reporting bonus checks are lower than you expected?

CMS says your incentive payments from the Physician Quality Reporting System and Electronic Prescribing Incentive Program are subject to offsets. The agency explains that it may reduce quality program bonus payments for any outstanding debt linked to your Taxpayer Identification Number (TIN).

CMS delays requirement for signatures on labs

by: Grant Huang Jan 10, 2011

CMS is freezing a rule that would require your physicians and non-physician providers (NPPs) to sign requisitions for lab tests. This requirement, introduced in the 2011 Physician Fee Schedule (PFS) final rule, was to take effect Jan. 1, 2011 and would've applied to all lab tests paid under the clinical laboratory fee schedule. We covered this issue of lab signatures in a recent edition of the NPP Report.

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