- ACEP supports physicians’ right to have access to Medicare billings made in their name utilizing their individual NPIs and/or group TINs, and federal law exists that supports this right in many situations. Click here for a simple primer organized by employment types or payment arrangements that can help empower physicians in securing such access.
- CMS announced that the Medicare Part B premium will significantly increase by nearly 15 percent from $148.50 in 2021 to $170.10 in 2022. There are multiple reasons for this higher premium, but most notably, it reflects the need to maintain a contingency reserve for unanticipated increases in health care spending. There is significant uncertainty regarding the potential for future coverage of clinician-administered Alzheimer’s drugs (i.e., Aduhelm™), requiring additional contingency reserves.
- On November 16, ONC issued new educational material—which include new and revised Frequently Asked Questions and a fact sheet related to the data sharing requirements.
- On November 10, CMS announced that clinicians will receive an automatic exemption from all four MIPS performance categories (MIPS Quality, Cost, Improvement Activities, and Promoting Interoperability performance categories) if they do not report any data from the 2021 performance period. CMS had previously created a case-by-case, application-based exception policy for 2021. Please click here for more information.
November 4, 2021 • Advocacy Info • CMS Info • Medicare Info • MIPS Info • Physician Fee Schedule • Telehealth
The 2022 Physician Fee Schedule Final Reg: Some Highlights and Perspective
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2022 physician fee schedule (PFS) final regulation. As a reminder, this is the major annual reg th...
September 23, 2021 • Advocacy Info • Alternative Payment Model • CMS Info • Medicare Info • Telehealth
ACEP Responds to Request for Information on Rural Emergency Hospitals
Last Friday, ACEP formally responded to a major regulation issued by the Centers for Medicare & Medicaid Services (CMS) impacting Medicare outpatient hospital payments in 2022. As you may recall, the ...
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...
May 20, 2021 • CMS Info • Opioids Info • Telehealth
CMS Releases Medicaid Utilization Data from the COVID-19 Public Health Emergency
Medicaid and the Children’s Health Insurance Program (CHIP) cover over 100 million children, pregnant women, parents, seniors, and individuals with disabilities across the country—so it’s not a surpri...
March 18, 2021 • Advocacy Info • Medicare Info • Physician Fee Schedule • Telehealth
MedPAC Issues Annual Report on Medicare Payment Policy: Any Good Recommendations?
Every March, the Medicare Payment Advisory Commission (MedPAC) releases a comprehensive report to Congress outlining its recommendations for updating Medicare payments—and earlier this week, MedPAC is...
December 17, 2020 • CMS Info • Medicare Info • Advocacy Info • HHS • Physician Fee Schedule • Telehealth
COVID-19 Telehealth Flexibilities: What Remains and Disappears Once the Public Health Emergency Ends
As discussed in previous Regs & Eggs posts, the Centers for Medicare & Medicaid Services (CMS) and other offices within the Department of Health and Human Services (HHS) have instituted numerous teleh...
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...
August 13, 2020 • Telehealth
President Trump’s Executive Order on Rural Health and Telehealth: Impact on Emergency Medicine
On August 3, President Trump issued an executive order (EO) related to rural health and telehealth. As a reminder, EOs don’t actually effectuate policies, but rather, they direct federal agencies to i...