Part B News | Editors' Blog

Exempt or not, off campus PBDs may see big pay cuts next year

by: Laura Evans, CPC Jul 26, 2018

CMS has these provider-based departments – many of which are part of hospital-owned physician practices – in its sights for reimbursement cuts in two areas.

3 weeks after stopping them, CMS restores Obamacare risk-adjustment payments

by: Roy Edroso Jul 26, 2018

On July 7, CMS suspended risk-adjustment payments meant to stabilize Affordable Care Act exchange plans -- but on Tuesday agency officials reversed their decision, pleading "the stability of the insurance markets."

Back up your 99024 reporting – OIG is watching

by: Laura Evans, CPC Jul 24, 2018

The post-operative visit code may not have its own payment rate, but the HHS watchdog is studying it anyway. Here's why.

Claims-based quality reporting could be pared down in 2019

by: Julia Kyles, CPC Jul 19, 2018

It’s no secret that claims-based quality measure reporting is very popular with practices, but not with CMS. The 2019 Medicare proposed physician fee schedule contains the agency's latest attempt to shift more practices to other methods that are less burdensome and expensive for the agency to administer.

Fee schedule reaction shot: 'This is insanity'

by: Richard Scott Jul 18, 2018

In the days after CMS dropped a bombshell of a proposed fee schedule, experts and industry groups continue to make sense of the expected aftermath. No proposals are final, of course, but the ideas floated -- around E/M payments and documentation, in particular -- could prove significantly disruptive to physician practices around the country.

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