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Electronic Consultations Could Improve Access to Rheumatologic Care

Samantha C. Shapiro, MD  |  January 20, 2022

Patients shouldn’t need to exercise patience when it comes to getting needed rheumatologic care. E-consults are an evolving telehealth modality with the potential to improve access to rheumatologic care in a cost-effective and efficient manner.

2021 MIPS Reporting Submission Period Now Open

the ACR RISE Registry Team  |  January 7, 2022

A 2021 MIPS Reporting Guide is available to help practices complete their MIPS dashboard and successfully report through the ACR’s RISE registry.

New Healthcare Price Transparency Requirements Are Complicated & Vary by State

Emily A. Johnson, JD  |  December 16, 2021

Healthcare law is ever changing, particularly with regard to price transparency. Key healthcare leaders and stakeholders have long argued for more stringent price transparency regulations in an effort to increase patient awareness regarding the cost of a hospital item or service prior to receiving the service. Such information is anticipated to enable patients to take…

CVS Caremark to Revise Prior Authorization Forms in January 2022

From the College  |  December 15, 2021

The reassurance comes after ACR leadership sent a letter detailing how its prior authorization forms increased paperwork burden for many biologic drugs and hurt patients’ timely access to treatment.

Texas Establishes Gold Card for Prior Authorization Exemption

Joseph Cantrell, JD  |  December 14, 2021

A new law in Texas establishes a continuous prior authorization exemption for physicians who earn a 90% approval rate on prior authorization requests for a given service over a period of six months.

2022 PFS Final Rule for the Quality Payment Program Published

From the College  |  December 2, 2021

The ACR highlights essential information for providers for 2022 MIPS reporting in the 2022 Medicare Physician Fee Schedule Final Rule, published Nov. 2.

Business Rheum: What to Expect from New MVP Measures

Vanessa Caceres  |  December 1, 2021

The new rheumatology-specific Merit-Based Incentive Payment System Value Pathway will focus on measures that most rheumatologists already track. The model should streamline reporting and better target quality improvements.

Extreme & Uncontrollable Circumstances Policy Will Apply to All MIPS-Eligible Clinicians 2021

Allison Plitman, MPA  |  November 18, 2021

The final rule, issued Nov. 2, finalizes many proposed policies, including a decreased conversion factor, billing for shared visits and teaching services, continuation of telehealth services and inclusion of an ACR-led Merit-Based Incentive Payment System Value Pathway.

ACR Overview of 2022 Medicare Physician Fee Schedule Final Rule

From the College  |  November 18, 2021

The final rule, issued Nov. 2, finalizes many policies in the July proposed rule, including the decreased conversion factor, billing for shared visits and teaching services, the continuation of telehealth services and inclusion of an ACR-led Merit-Based Incentive Payment System Value Pathway. 

ACR-Led Resolutions at AMA House of Delegates Meeting Protect Rheumatology Practices, Patient Access

From the College  |  November 9, 2021

If passed, the ACR-led resolutions will direct the AMA to advocate for state-level pharmacy benefit manager reform and to fix broken Medicare Administrator Contractor processes. Several other specialties joined the ACR’s resolutions as supporting cosponsors.

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