Access to clinical pathology services nationwide is threatened by the lack of an annual inflationary update for physician reimbursement from the Centers for Medicare & Medicaid Services (CMS). Most recently, the 2024 Medicare Physician Fee Schedule (MPFS) implemented an overall 2.0% reduction in ...
The AJMC® Medicare compendium is a comprehensive resource for clinical news and expert insights on issues that affect Medicare beneficiaries with a focus on polypharmacy, reimbursement challenges, and other topics related to seniors.
Reimbursement A Promise Unfulfilled: The State of Biosimilars Mark Campbell, PharmD September 17th 2024 Article Pharmacy Focus: Policy Edition - PBM Audits January 25th 2024 Podcast CMS Announces Negotiated Prices for 10 Drugs Under Inflation Reduction Act ...
While it’s always good to keep an eye on your Medicare costs, here’s some good news. It’s observed that 19% of Medicare Advantage plans provided a partial reduction in the Part B premium for 2024, mirroring the proportion observed in 2023. CMS revealed that the anticipated average month...
New Reimbursement Construct for Care Management Services in FQHCs and RHCs The 2024 Physician Fee Schedule added Remote Physiologic Monitoring and Remote Therapeutic Monitoring services to the list of care management services billable by FQHCs and RHCs under HCPCS G0511.For 2025, CMS proposes to allo...
After adjusting for inflation, all seven of the hip arthroscopy CPT codes were observed to experience a notable decline in Medicare reimbursement. Hip arthroscopy with acetabuloplasty (CPT: 29915) and labral repair (CPT: 29916) exhibited the greatest reduction in reimbursement with a decrease in ...
Nov 4, 2024 8:00am EST -- Final CMS rule concludes iovera is a qualifying device for separate payment under the NOPAIN Act -- -- BeginningJanuary 1, 2025, providers can receive additional Medicare payment when they use EXPAREL or iovera°via product-specific reimbursement codes -...
Wipfli is dedicated to helping home health agencies navigate changes in the industry introduced by updated reimbursement regulations. Our experienced billing and consulting team can assist you to reduce the likelihood of penalties due to late NOA submissions by assuring that your revenue cycle management...
Medicare Reimbursement Are you concerned about how to send claims to Medicare? You may have less to worry about than you thought. Read about Medicare claims and reimbursement. Medicare Inflation Reduction Act President Biden signed the Inflation Reduction Act (IRA) of 2022, into law. The goal of...
• CMPs will be levied in addition to any MSP conditional payment reimbursement obligations. • The rule is prospective and CMS will evaluate compliance based only upon files submitted by the RRE on or after the effective date of the final rule. ...