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Senate Passes Legislation to Halt Medicare Physician Payment Cuts

Last evening, the Senate passed legislation halt Medicare physician payment cuts that were scheduled to take effect on January 1. President Biden is expected to sign the bill into law.   Highlights of the physician payment provisions include:   A delay in resuming the 2% Medicare sequester for three months (January 1- March 31, 2022), followed by a reduction to 1% for three months (April 1-June 30, 2022). A one-year increase in the Medicare Physician Fee Schedule of 3% (0.75% less than the conversion factor boost provided for 2021). A one-year delay in the cuts ...

Senate Must Act Now on Medicare Payment Cuts

It’s coming down to the wire. As Congress continues to fight over a number of year-end priorities, time is running out to address the looming Medicare payment cuts that, if not reversed, would have devastating consequences for Medicare patients and our health care system. Tell your Senators to act NOW to protect America’s Medicare patients. On January 1, 2022 the Centers for Medicare and Medicaid Services will drastically reduce payments for certain health care providers. If Congress does not act to stop these cuts before the end of the year, it ...

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) ...