CMS reduces Colonoscopy Reimbursement in 2018

The 2018 Medicare Physician Fee Schedule reduces the base unit value for screening colonoscopy from 5 to 3, this represents a 40% reduction in base units for the procedures that translates into an estimated 28% reduction in reimbursement, based on an average of 7.2 units billed.

CMS will cancel major bundled payment initiatives

CMS has proposed canceling the cardiac and expanded joint replacement bundled payment models.

The rule, which was sent to the Office of Management and Budget last week, would cancel the mandatory bundled payment programs for heart attacks and bypass surgeries as well as expansion of the existing Comprehensive Care for Joint Replacement model to include surgical treatments for hip and femur fractures. Those bundled payment initiatives have already been delayed twice. They’re currently slated to take effect Jan. 1, 2018.

CMS Releases 2017 Measure Specifications for the Merit-Based Incentive Payment System

The Centers for Medicare & Medicaid Services (CMS) released measure specifications for the 2017 transition year for the Merit-Based Incentive Payment System (MIPS). Measure specifications are available for download here. Members are encouraged to review measures applicable to their practice as they prepare to participate in quality reporting under MIPS.

What To Do When The Feds Come Knocking

You are about to open your door one evening when you are approached by a man who flashes a badge and says “ I am with the Federal Bureau of Investigation, and I want to talk to you about your work for Mammoth Hospital.” What do you do? Put Your Hands Up??? Nope Read ON!

CMS further delays major bundled payment initiatives

The final rule delays the start of the cardiac rehabilitation payment model and mandatory bundled payment programs for heart attacks and bypass surgeries and the expansion date of the CJR model from Oct. 1, 2017, until Jan. 1, 2018.

This is the second time CMS has delayed the new programs and the CJR expansion. In March, the agency pushed back the effective date for the programs from July 1, 2017, until Oct. 1, 2017.

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