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CY24 Physician Fee Schedule Proposed Rule

On , in Industry News, by AQ-IQ LLC

Proposed Payment Rate The CY 2024 PFS proposed rule includes updates to PFS payments for clinicians as required by law. Overall proposed payment amounts under the PFS would be reduced by 1.25% compared to CY 2023, in accordance with factors specified by law. CMS is also proposing increases in payment for many visit services, such as […]

Physician Fee Schedule Proposed Rule 2022

On , in Announcements, by AQ-IQ LLC

CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access Rule Would Expand Access to Telehealth Services, Enhance Diabetes Prevention Programs The Centers for Medicare & Medicaid Services (CMS) is proposing changes to address the widening gap in health equity highlighted by the COVID-19 Public Health Emergency (PHE) and to expand patient access to […]

Physician Fee Schedule and Quality Payment Program CY2020 Proposed Rule

On , in Documents, by AQ-IQ LLC

As part of CMS’s annual changes to the Medicare Physician Fee Schedule and Quality Payment Program, the agency’s proposals are aimed at reducing burden, recognizing clinicians for the time they spend with patients, removing unnecessary measures and making it easier for them to be on the path towards value-based care.  Last year, the Trump Administration finalized […]

Physician Fee Schedule CY2019 Proposed Rule

On , in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]

Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration

On , in Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) is advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration, which, when approved and adopted, would waive Merit-Based Incentive Payment System (MIPS) requirements for clinicians who participate sufficiently in certain Medicare Advantage plans that involve taking on risk. CMS seeks public comment on the information […]

MACRA Preparation

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

On , in Documents, by AQ-IQ LLC

Summary: In their continuing effort to improve the Medicare Program, CMS has created the Quality Payment Program (QPP), which provides two options (based on defined criteria): MIPS (Merit-based Incentive Payment System) and APMs (Advanced Alternative Payment Models). QPP ends the SGR (Sustainable Growth Rate) formula and uses reporting data to validate important metrics. More details […]

Final Rule (with Comment Period) MIPS and APM Incentive under the Physician Fee Schedule

On , in Industry News, by AQ-IQ LLC

CMS today issued this Final Rule (with comment period). SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repeals the Medicare sustainable growth rate (SGR) methodology for updates to the physician fee schedule (PFS) and replaces it with a new approach to payment called the Quality Payment Program that rewards the delivery of […]