Doctors and Clinicians Preview Period is Now Open
The Doctors and Clinicians Preview Period is officially open as of January 25, 2021 at 10 a.m. ET (7 a.m. PT). You can now preview your 2019 Quality Payment Program …
Important Updates to the Medicare Physician Fee Schedule
From MLN Connects: On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS): Provided a 3.75% increase in MPFS payments for …
Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March
From MLN Connects: “The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1 through …
Updated PEPPER Retrieval Maps Allow Comparison By State
The PEPPER Team has updated the maps that display the PEPPER retrieval rates for PEPPERs accessed via the PEPPER Resources Portal for each state/territory. Percentages reflect the PEPPER release that …
HHS Begins Distributing Phase 3 COVID-19 Provider Relief Funding
From HHS: Today, the Trump Administration, through the Health Resources and Services Administration (HRSA) is announcing it has completed review of Phase 3 applications from the Provider Relief Fund (PRF) …
New Proposed Rule from CMS: Addressing Prior Authorization and Increasing Access to Medical Records
Today, CMS issued a proposed rule that would improve the electronic exchange of health care data among payers, providers, and patients, and would streamline processes related to prior authorization to …
The New Geographic Direct Contracting Payment Model from CMS
CMS announced a new voluntary payment model: The Geographic Direct Contracting Model (Geo). Geo will test an approach to improving health outcomes and reducing the cost of care for Medicare …
CMS Releases the 2021 Physician Fee Schedule Final Rule
CMS has issued its annual Physician Fee Schedule (PFS) final rule that includes updates on policy changes for Medicare payments under the PFS and other Medicare Part B issues, on …
New 2020 Events Added to Automatic Extreme and Uncontrollable Circumstances for MIPS
From CMS: “In response to the Federal Emergency Management Agency (FEMA) designation of Hurricane Laura and the California and Oregon wildfires as national disasters, CMS has determined that the automatic …
CMS will retire the original Compare Tools Websites on December 1st.
From CMS: “In early September, the Centers for Medicare & Medicaid Services (CMS) released Care Compare on Medicare.gov, which streamlines our eight original health care compare tools. Since then, you’ve …