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2022 Medicare Physician Fee Schedule (PFS) and Quality Payment Program (OPP) Proposed Rule Summary

Physician Payment Schedule On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2022 Revisions to Payment Policies under the Physician Fee Schedule (PFS) and Other Changes to Part B Payment Policies proposed rule (published in the Federal Register on July 23, 2021 – Docket number CMS-1751-P). In addition, CMS published a fact sheet on the PFS proposed rule highlighting the key provisions. If finalized, the proposed policies in the rule will take effect on January 1, 2022. CMS is requesting that comments ...

AMA report shows physician Medicare revenue down 19% over first half of 2020

The economic impact of COVID-19 on health care continues to reveal itself through reductions in patient volume and revenue and in higher practice costs. As the pandemic stretches on, physician practice viability remains under threat. Financial impacts were assessed with a claims-based analysis of changes in Medicare physician spending for the first six months of 2020 and a nationwide survey of physicians in July and August of 2020. Medicare physician spending The report “Changes in Medicare Physician Spending During the COVID-19 Pandemic” provides an in-depth look at impacts of the COVID-19 pandemic ...

CMA/AMA responding to proposed Medicare payment rule

On July 12, 2018, the Centers for Medicare and Medicaid Services (CMS) released the proposed 2019 Medicare Physician Fee Schedule and MACRA Quality Payment Program (QPP) rule. This is the first year that CMS is combining the Medicare fee schedule and QPP rules. There are a number of positive elements in the proposed rule. These include: New payments for physician services that are not part of a face to face office visit (virtual check-ins, remote consults of patient videos and photographs, and online consultations with other physicians) ...

A Letter to Doctors from CMS Administrator Seema Verma

In a letter addressed to doctors, CMS Administrator Seema Verma reaffirmed the federal agency’s commitment to “turning the tide” of rising rates of physician burnout and reducing clinical documentation requirements to cut provider burden.   A Letter to Doctors from CMS Administrator Seema Verma Dear Doctor, Thank you for the difference you make in your patients’ lives. Many of our nation’s best and brightest students go into medicine – the competition is intense for every spot. To become a practicing physician, you had to put in years of training, hours of studying, and ...

New Medicare Card Mailing Update – Wave 3 Begins, Wave 1 Ends

New Medicare Card Mailing Update – Wave 3 Begins, Wave 1 Ends We started mailing new Medicare cards to people with Medicare who live in Wave 3 states: Arkansas, Illinois, Indiana, Iowa, Kansas, Minnesota, Nebraska, North Dakota, Oklahoma, South Dakota and Wisconsin.  We continue to mail new cards to people who live in Wave 2 states and territories (Alaska, American Samoa, California, Guam, Hawaii, Northern Mariana Islands, Oregon), as well as nationwide to people who are new to Medicare.  We finished mailing most cards to people with Medicare who live in Wave ...