On March 9, 2024, President Biden signed the Consolidated Appropriations Act, 2024, which included a 2.93 percent update to the CY 2024 Physician Fee Schedule (PFS) Conversion Factor (CF) for dates of service March 9 through December 31, 2024. This replaces the 1.25 percent update provided by the Consolidated Appropriations Act, 2023, therefore the CY …
Congress released a $460 billion spending package that would halve 2024’s 3.4% Medicare pay cut for physicians to approximately 1.7%. Here are three things ASC leaders should know about the package: 1. The package would temporarily lower the 3.4% Medicare physician fee cut, which took effect in January, to about 1.7%, according to Bloomberg Law. …
On November 2, 2023, CMS published the 2024 Medicare physician fee schedule and outpatient facility fee final rules. CMS finalized another unsustainable 3.37% cut to reimbursement and decreased conversion factor of $32.74. Now is the time to inform your Members of Congress about the danger of these looming cuts. You Can Help! Click Here for …
Based on current COVID-19 trends, the Department of Health and Human Services is planning for the federal Public Health Emergency for COVID-19 (PHE), declared under Section 319 of the Public Health Service Act, to expire at the end of the day on May 11, 2023. Thanks to the Administration’s whole-of-government approach to combatting the virus, …
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The Calendar Year 2023 Physician Fee Schedule (PFS) final rule announced today The Calendar Year 2023 Physician Fee Schedule conversion factor is $33.06, a decrease of $1.55 to the Calendar Year 2022 “PFS” conversion factor of $34.61. Click Here for More Information: Click Here fact sheet on the CY 2023 Physician Fee Schedule Final Rule: …
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The American Medical Association (AMA) has announced an update to Current Procedural Terminology (CPT®), the nation’s leading medical terminology code set for describing health care procedures and services, that includes a new laboratory test code for the orthopoxvirus and two codes for the vaccines being utilized to prevent monkeypox infection. These new CPT codes are …
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Horizon Blue Cross Blue Shield of New Jersey will implement changes to our claim processing system to help ensure that claim payments are accurate and consistent with standard business practices. Beginning August 1, 2014, our claim system will deny certain services (including Evaluation and Management (E&M) services) when performed by the same provider on the …
Continue reading “Claim Editing Update: E&M Services and Modifier 25”
CMS is proposing actions to advance health equity and improve access to care in rural communities by establishing policies for Rural Emergency Hospitals (REH) and providing for payment for certain behavioral health services furnished via communications technology. Additionally, in line with President Biden’s Executive Order on Promoting Competition in the American Economy, the calendar year …
In the Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals and the Long-term Care Hospital (LTCH) Prospective Payment System Final Rule, the Centers for Medicare & Medicaid Service (CMS) continued to implement a performance-based scoring methodology for eligible hospitals and critical access hospitals (CAHs) that attest to CMS …
Continue reading “Medicare Promoting Interoperability Program Scoring Methodology for 2022”
