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Per the terms of the Inflation Reduction Act (IRA) signed into law Aug, 16, the payment for biosimilar drugs under Part B average sales price (ASP) reimbursement ticks up from 106% – the cost of the biosimilar plus a 6% provider reimbursement – to 108% starting this month.
Missing: More than 300,000 services that had been reported with 99201 (Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.)
 
In case you missed it, CMS has slowly been updating its website. The changes look great, but last week’s makeover of the National Correct Coding Initiative (NCCI) section may contain broken links.
 
 
The HHS Office of Inspector General issued a report on problematic telehealth billing and a call to build program integrity protections into any changes to Medicare telehealth rules.
 
 
Welcome to the 2022 Medical Practice Mid-Year Strategy Survey from DecisionHealth. Please take a few minutes to share some feedback about the state of your practice. All respondents will be entered into a drawing to win a $50 Amazon gift card. Responses will remain anonymous.
 

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