The proposed rule for 2013 Medicare Physician Fee Schedule (MPFS) policies and rates provides detail about the physician value-based payment modifier (value modifier) required under the Affordable Care Act.
The value modifier would adjust payments to individual physicians or groups of physicians based on the quality of care furnished to Medicare beneficiaries as compared to costs. The Centers for Medicare & Medicaid Services (CMS) will phase in the value modifier over three years, from 2015 to 2017. (more…)
July 13th, 2012
In rapid fire succession, the Centers for Medicare & Medicaid Services (CMS) released proposed rules in July that will dictate payment policies and reimbursement rates for health care providers in 2013 in several programs: medicare physicians fee schedule (MPFS), outpatient prospective payment system (OPPS), home health, skilled nursing facilities (SNF), and end stage renal disease (ESRD). (more…)
The Centers for Medicare & Medicaid Services (CMS) published corrections to the Medicare and Medicaid Electronic Health Record Incentive Program—Stage 2 proposed rule in the April 18 Federal Register. The corrections document fixes several technical and typographical errors in the preamble and regulations text. (more…)
April 27th, 2012
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule April 24 that would update 2013 Medicare payment policies and rates for inpatient stays to general acute care hospitals paid under the Inpatient Prospective Payment System (IPPS) and long-term care hospitals (LTCHs) paid under the LTCH PPS. (more…)
The Centers for Medicare & Medicaid Services (CMS) proposed two rules and finalized a third rule, Oct. 18, with the intention to “reduce unnecessary, obsolete, or burdensome regulations.” CMS estimates these reforms could potentially save hospitals and health care providers nearly $1.1 billion dollars in the first year alone.
October 28th, 2011