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Information on Medicare Claims and Payments for January 2013
While Congress’ action to avert the fiscal cliff at the ninth hour is good news, the decision may have a slight impact on Medicare claims and payments. Palmetto GBA posted this useful article that provides some useful, early guidance. A few quick highlights:
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Multiple Medical Organizations Sign on to SGR Transition Principles Letter
More than 100 state medical and specialty societies, including the North Carolina Medical Society (NCMS), joined the AMA and signed on to a letter to congressional leaders outlining key principles in transitioning from the SGR to a higher performing Medicare program.
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CMS Proposes 2013 Fee Schedule Rule; Changes to PQRS
2013 Medicare Physician Fee Schedule Proposal On July 30, 2012, the Centers for Medicare and Medicaid Services (CMS) proposed its 2013 Medicare Physician Fee Schedule rule. A National Provider Call regarding […]
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Budget Office Updates Cost of SGR Fix
Last month the Congressional Budget Office (CBO) released new estimates for a fix to the flawed Medicare physician payment model known as the Sustainable Growth Rate formula (SGR). As of […]
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Senate Realizing that Sustainable Growth Rate Not So Sustainable After All
Roundtable discussions have been occurring monthly throughout the summer with the goal of taking a look at the history of physician payments under Medicare, including the SGR, as well as lessons that can be learned from the private sector in repairing such a broken methodology.
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U.S. Senate Holds SGR Roundtable Discussions
The Senate Finance Committee has begun a series of roundtable discussions on Medicare payment reform in an attempt to develop a new physician payment system. North Carolina Senator Richard Burr […]
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Another Short-Term Patch for the Troublesome SGR
Congress voted today to extend payroll tax cuts, unemployment benfits and the current Medicare physician payment through the end of 2012. The bill now goes to President Obama for his signature, as members of Congress prepare for a week-long recess to observe the President’s Day holiday.
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YouTube Videos Call for Permanent SGR Fix, Not More Patches
Videos posted on YouTube are helping to emphasize the urgency to repeal Medicare’s flawed sustainable growth rate (SGR) formula that is used to set physician reimbursements. The AMA released the […]
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Physician Organizations Propose Offset for Congress to Repeal SGR
The NCMS joined with 47 physician organizations this week to ask Congress to repeal Medicare’s sustainable growth rate (SGR) formula by using excesses from Overseas Contingency Operations (no longer needed for wars in Iraq and Afghanistan).
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Medicare Physician Reimbursement Cut Still Looms
The Centers for Medicare and Medicaid Services (CMS) is currently developing the 2012 Medicare Physician Fee Schedule (MPFS) to implement the zero percent update that was included in the Temporary Payroll Tax Cut Act signed by President Obama on December 23, 2011.
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