On May 7, ACR leaders from the Board of Directors, committees and more will to go to Capitol Hill and ask lawmakers to support legislation that would stabilize Medicare reimbursement for physicians.
Search results for: Medicare Part B
CMS Updates the Medicare Conversion Factor
The Consolidated Appropriations Act, 2024 increased the Medicare conversion factor by 1.68% effective March 9, bringing it to $33.2875 for March 9–Dec. 31, 2024.
The AMA Seeks Physician Input to Inform Medicare Physician Payment
The AMA’s Physician Practice Information Survey is seeking updated data on practice costs to inform Medicare physician payment. If your practice receives a request to participate, complete this important survey to help ensure accurate payment.
The CMS Reveals First 10 Drugs for Medicare Drug Negotiation
The long-awaited list of the first 10 Part D drugs to be included in the new Medicare Price Negotiation process includes the commonly prescribed rheumatology drugs Enbrel and Stelara. Initial negotiations with the drug manufacturers will begin this fall.
CMS Releases CY24 Medicare Physician Fee Schedule & Quality Payment Program Updates
On July 13, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2024 Medicare Physician Fee Schedule and Quality Payment Program (QPP) updates. Notably, the Fee Schedule decreases the conversion factor, which coupled with reimbursement stagnation for payment updates and congressionally mandated cuts, has created financial instability for physicians across all specialties. …
Talking to Patients About Medicare Choices: Q&A with the Arthritis Foundation’s Nick Turkas, MS
Access to care is critical for treating arthritis and other chronic rheumatic conditions. That’s why choosing the best Medicare plan fit is such an important decision. Use these tips from the Arthritis Foundation’s Nick Turkas, MS, to help your patients make their best choice for insurance coverage.
ACR Hill Day Participants Ask Congress to Address Medical Workforce Shortage
Nearly 70 rheumatologists and rheumatology professionals convened in Washington, D.C., to advocate on behalf of legislation that would preserve and help to grow America’s healthcare workforce.
2023 Medicare Physician Fee Schedule Final Rule for Quality Payment Program Published
The ACR highlights essential policy and reporting changes to the Quality Payment Program for performance year 2023 and beyond. Key changes include policies regarding the development of new MIPS Value Pathways and refinement of subgroup participation.
Evolution of Medicare’s Merit-Based Incentive Payment System: MIPS Value Pathways
In November, the CMS finalized 12 MIPS Value Pathways (MVP) in the Quality Payment Program, including a rheumatology MVP. In 2023, clinicians can opt to report via traditional MIPS, the rheumatology MVP or both.
ACR Provides Preliminary Analysis of CY23 Medicare Physician Fee Schedule Final Rule
On Nov. 1, the CMS finalized the Medicare Physician Fee Schedule for 2023. The rule finalizes many policies, significantly: a 4.5% decrease in the conversion factor, a delay in split/shared implementation, continued refinement of evaluation and management coding and documentation, and telehealth flexibilities that will remain in place through 2023. Thanks to ACR advocacy, the CMS reinstated five-minute pre- and post-service times for musculoskeletal ultrasound codes.
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