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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.

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."

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

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.
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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