Archive for January, 2014

CMS finalizes physician payment rates for 2014

In a rule issued on November 27, 2013  the Centers for Medicare & Medicaid Services (CMS) finalized payment rates and policies for 2014, including a major proposal to support care management outside the routine office interaction as well as other policies to promote high quality care and efficiency in Medicare. CMS’ care coordination policy is a milestone, and demonstrates Medicare’s recognition of the importance of care that occurs outside of a face-to-face visit for a wide range of beneficiaries beginning in 2015. The final rule sets payment rates for physicians and non-physician practitioners paid under the Medicare Physician Fee Schedule for 2014 and addresses the policies included in the proposed rule issued in July. CMS projects that total payments under the fee schedule in 2014 will be approximately $87 billion.

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CMS Releases Updated PQRS Resources

The Centers for Medicare & Medicaid Services (CMS) has released updated PQRS resources summarizing 2014 reporting requirements for the program. The PQRS program will apply a -2% penalty in 2016 to providers who do not meet reporting criteria in the 2014 performance year. In most cases, providers must report on at least three PQRS measures in 2014 to avoid the 2016 payment adjustment.