- On September 10, the HHS announced that it is making $25.5 billion in new funding available for health care providers affected by the COVID-19 pandemic. This funding includes $8.5 billion in American Rescue Plan (ARP) resources for providers who serve rural Medicaid, Children's Health Insurance Program (CHIP), or Medicare patients, and an additional $17 billion for Provider Relief Fund (PRF) Phase 4 for a broad range of providers who can document revenue loss and expenses associated with the pandemic. The application portal will open on September 29, 2021. To promote transparency, HHS is also releasing detailed information about the methodology utilized to calculate PRF Phase 3 payments. Additionally, HHS announced a final 60-day grace period to help providers come into compliance with their PRF Reporting requirementsif they fail to meet the deadline on September 30, 2021, for the first PRF Reporting Time Period. For more information about the new PRF payments, please click here.
- On September 10, HHS and other federal agencies issued proposed rules to implement provisions of the No Surprises Act regarding new reporting requirements for air ambulances. The proposed rules also include provisions regarding disclosure of compensation for health insurance agents or brokers.
- On September 3, the CDC awarded more than $116 million in year one, of a three-year, $348 million program, to organizations for community health worker services to support COVID-19 prevention and control.
- On September 3, the CDC released an MMWR on trends in COVID-19 cases, emergency department visits, and hospital admissions among children and adolescents . Severe illness from COVID-19 can and does occur in children and adolescents. COVID-19 cases, emergency department visits, and hospital admissions increased from June to August 2021 among persons aged 0-17 years. Emergency department visits and hospital admissions in a 2-week period in August 2021 were higher in states with lower population vaccination coverage and lower in states with higher vaccination coverage.
September 15, 2021 • Advocacy Info • CMS Info • Medicare Info • MIPS Info • Physician Fee Schedule • Telehealth
ACEP Responds to Major Medicare Regulation Impacting Physician Payments
On Monday, ACEP submitted a comprehensive response to the Centers for Medicare & Medicaid Services’ (CMS’) Calendar Year (CY) 2022 Physician Fee Schedule (PFS) and Quality Payment Program (QPP) propos...
July 15, 2021 • Advocacy Info • CMS Info • Medicare Info • MIPS Info • Physician Fee Schedule • Telehealth
Another Major Regulation Released: CMS Issues the 2022 Physician Fee Schedule Proposed Reg
Another week, another major regulation. A couple weeks ago, federal agencies released the No Surprises Act Interim Final Regulation, and this week, the Centers for Medicare & Medicaid Services (CMS) i...
July 1, 2021 • Advocacy Info • CMS Info • Medicare Info • MIPS Info
ACEP Responds to Major Medicare Hospital Payment Regulation
On Monday, ACEP submitted a formal response to the Fiscal Year (FY) 2022 Inpatient Prospective Payment System (IPPS) proposed regulation—the major reg that the Centers for Medicare & Medicaid Services...
March 25, 2021 • HHS • MIPS Info • EHR Info
Get Ready! New Data Sharing Requirements Coming into Effect in Early April
The 21st Century Cures Act, a monumental law enacted in 2016, included numerous new requirements around the access, exchange, and use of patients’ electronic health information (EHI). The intent of th...
February 25, 2021 • Advocacy Info • Alternative Payment Model • CMS Info • Medicare Info • MIPS Info • Physician Fee Schedule
Paving the Way toward Value-Based Care: ACEP Submits an MIPS Value Pathway (MVP) Proposal to CMS
This week, ACEP will be submitting a proposal to the Centers for Medicare & Medicaid Services (CMS) for an emergency medicine-focused Merit-based Incentive Payment System (MIPS) Value Pathway (MVP). T...
December 3, 2020 • Advocacy Info • CMS Info • Physician Fee Schedule • MIPS Info • Opioids Info • Telehealth • Medicare Info
The 2021 Physician Fee Schedule Final Reg: The Good, the Bad, and the Ugly
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released the calendar year 2021 physician fee schedule (PFS) final regulation. As a reminder, this is the major annual reg that im...
January 9, 2020 • MIPS Info
MIPS Updates for the New Year
Although I recently wrote about the upcoming policy changes to the Merit-based Incentive Payment System (MIPS), the major quality reporting program for physicians under Medicare, the Centers for Medic...
December 12, 2019 • MIPS Info
MIPS: Upcoming Changes You Should Know About
Many of you are all too familiar with the Merit-based Incentive Payment System (MIPS), the major quality reporting program for physicians under Medicare. MIPS measures performance in four categories —...