Part B News | Editors' Blog

End to risk for Shared Savings ACOs? Two experts weigh in

by: Roy Edroso Aug 23, 2018

Two top health care analysts with KPMG talk about the new rule that proposes to push all Medicare Shared Savings Program (MSSP) participants to two-sided risk.

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.

CMS proposes sweeping changes to E/M payments, documentation requirements

by: DecisionHealth editorial staff Jul 12, 2018

You could find a single payment amount for your level 2 to 5 office codes and significantly reduced documentation requirements as soon as Jan. 1 should changes put forth in the 2019 proposed Medicare physician fee schedule come to realization.

Neoplasms, eyes, external causes dominate proposed new ICD-10-CM codes

by: DecisionHealth staff Apr 24, 2018

Providers could have 435 code changes to deal with starting Oct. 1 with 247 new codes, 139 revised codes and 49 codes rendered invalid, according to the hospital inpatient prospective payment system (IPPS) proposed rule released April 24.

CMS proposes to extend skimpy health plans to a full coverage year

by: Richard Scott Feb 22, 2018

The window on patients being able to carry so-called skimpy insurance plans may get larger after CMS and other federal agencies co-released a proposed rule that would extend the duration of such plans to 12 months. The move might restrict access to some providers and services, notes CMS.

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