Under CMS’s new Quality Payment Program, which will adjust Medicare Part B payments starting in 2019 based on data from this year, physicians and other eligible clinicians must qualify for
Continue Reading CMS Predicts that Physicians participating in Advanced APMs in 2017 will receive a 5% Incentive Payment in 2019
Billing & Reimbursement
More Small Physician Practices May Become Exempt from MACRA
By Fox Rothschild LLP on
On June 20, 2017, The Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule which would exempt a greater number of small practices from complying with the Medicare…
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CMS Suggests Five Ways for Healthcare Providers to Prepare for New Medicare Cards
By Fox Rothschild LLP on
The Medicare Access and CHIP Reauthorization Act of 2015 requires Centers for Medicare and Medicaid Services (“CMS”) to remove Social Security Numbers (“SSNs”) from all Medicare cards. Physicians currently use…
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New York man sentenced to 10 years in prison for involvement in $26 million “billing mill”
By Fox Rothschild LLP on
Earlier this month, a New York man was sentenced to 10 years in prison for allegedly operating a $26 million scheme to defraud Medicare and Medicaid. The defendant allegedly established…
Continue Reading New York man sentenced to 10 years in prison for involvement in $26 million “billing mill”
CMS Requests “National Conversation” About Improving Medicare
By Fox Rothschild LLP on
As many people are discussing methods to improve healthcare, the Centers for Medicare & Medicaid Services (CMS) is giving stakeholders an opportunity to send in their thoughts on this topic. …
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CMS Introduces New Education Initiative for Chronic Care Management
By Fox Rothschild LLP on
The Centers for Medicare & Medicaid Services (“CMS”) recently introduced a new education initiative for Chronic Care Management (“CCM”) patients and providers. The initiative, called Connected Care, is intended to…
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Health Law Alert – Medicare Quality Payment Program
By Edward J. Cyran on
We recently issued a Health Law Alert on the Medicare Quality Payment Program, focusing specifically on what physicians and their medical practices need to know to be in compliance with…
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Are You Ready for the New Medicare Quality Payment Program? (Part 2): Basics of the MIPS and How to Qualify in 2017
By Edward J. Cyran on
The Medicare incentive programs with which you and your medical practice are familiar will soon be no more. As of January 1, 2017, these programs (including the Electronic Health Records…
Continue Reading Are You Ready for the New Medicare Quality Payment Program? (Part 2): Basics of the MIPS and How to Qualify in 2017
Are You Ready for the New Medicare Quality Payment Program? (New Blog Series)
By Edward J. Cyran on
You may have heard that a transformation of Medicare’s physician payment program is in the works. However, you may not know that the structure of the new program, called the…
Continue Reading Are You Ready for the New Medicare Quality Payment Program? (New Blog Series)
What is the Medicare Quality Payment Program and How May It Affect My Practice?
By Edward J. Cyran on
There are big changes coming to the Medicare incentive programs as we know them. Beginning on January 1, 2017, the new Quality Payment Program (the “Program”) will replace…
Continue Reading What is the Medicare Quality Payment Program and How May It Affect My Practice?