* The procedure code is eligible for separate reimbursement according to the status indicators on the CMS fee schedule for the relevant provider type (physician fee schedule, ASC, OPPS, etc). * The medical records documentation supports the appropriate use of modifier 25. All of the required key...
METHODS: The study was performed utilizing the Centers for Medicare and Medicaid Services (CMS) Physician Supplier Procedure Summary Master Data from 2000 to 2011. RESULTS: Interventional techniques for chronic pain have increased dramatically from 2000 to 2011. Overall, the increase of intervention...
There was evidence for higher spending on physician services for physician-led ACOs. CONCLUSIONS: ACOs of diverse structures perform comparably on core MSSP quality and spending measures. CMS should maintain its flexibility and continue to support participation of diverse ACOs. Future research to ...