The Centers for Medicare & Medicaid Services (CMS), the agency responsible for running Medicare and Medicaid within the US Department of Health and Human Services (HHS), arguably issues the most regulations that have a direct impact on emergency physicians. Their annual Medicare physician fee schedule (PFS) includes proposals that affect Medicare payments—which serve as the basis for which many private payers set their reimbursement rates. In the next regulation, expected to be released in late June or early July, we could see changes to the valuation of the Emergency Department Evaluation and Management (E&M) codes—the most commonly billed services for emergency physicians—that would impact total Medicare reimbursement for emergency physicians by tens of millions of dollars. Check out our Regs & Eggs blog for the latest regulatory updates.
Find highlights from our response to last year’s PFS proposed reg here, as well as a summary of the final reg here.
Medicare and Medicaid Regulatory Comment Letters
- Summary of ACEP Comment Letters on CMS and ONC Interoperability and Data Blocking Proposed Rules – May 31, 2019
- ACEP Comments on the 2020 Medicare Part C and D Advance Notice and Draft Call Letter - February 28, 2019
- ACEP Summary of CMS and ONC Proposed Rule on Health IT - February 20, 2019
- ACEP Comments on HHS' RFI on HIPAA Revisions - February 12, 2019
- ACEP Comments on Office of the National Coordinator for Health IT's Burden Reduction Draft Strategy - January 25, 2019
- ACEP Comments on CMS' Proposal on Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses - January 24, 2019
- Summary of 2019 Medicare Shared Savings/ACO Program Final Rule
- ACEP Response to Medicaid Managed Care Proposed Rule - January 10, 2019
- ACEP Comments on IPI Drug Pricing Model - December 27, 2018
- ACEP Comments on State Relief and Empowerment (i.e. Section 1332) Waivers - December 21, 2018
- Summary of 2019 Medicare Physician Fee Schedule and MACRA/QPP Final Rule - November 5, 2018
- ACEP Comments on Proposed Rule on Medicare ACO Program - October 16, 2018
- ACEP Comments on CY 2019 OPPS Proposed Rule - September 24, 2018
- Summary of Emergency Medicine-related Provisions in CMS Proposed Rule on Reducing Provider Regulatory Burdens - September 17, 2018
- Summary of ACEP Comment Letter on 2019 Medicare PFS and MACRA/QPP Proposed Rule - September 10, 2018
- ACEP Comments on CY 2019 Medicare Inpatient Prospective Payment System (IPPS) Proposed Rule - June 22, 2018
- ACEP Comments on the Exemptions to Methods for Assuring Access to Covered Medicaid Services Proposed Rule - May 22, 2018
- ACEP Comments on the 2019 Medicare Part C and D Advance Notice and Draft Call Letter - March 5, 2018
- ACEP Comments on 2019 Medicare Advantage and Part D Proposed Rule - January 16, 2018
