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Jeffrey Davis Director of Regulatory and External Affairs at ACEP

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  • 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.

 

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