The MPFS final rule was announced in the last quarter of 2017 with a concluding decision regarding proposed operational changes in radiology. The U.S. Centers for Medicare and Medicaid Services (CMS) illustrated these comparative distinctions alongside a push back of clinical decision support (CDS) until January 2020. Luckily, the ACR and other medical facilities will experience no cuts to radiology procedures. IDTFs will also benefit from the reduced cuts originally proposed by the CMS. Overall, radiology received a budget neutrality adjustment with many other positive updates and revisions that have favored practices in an unexpected turn of events.Read More
The Centers for Medicare & Medicaid Services (CMS) and its contractor, Acumen, LLC, is conducting a field test for eight episode-based cost measures from October 16 to November 15, 2017. This is before considering their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP). During the field test, affected clinicians may access confidential feedback reports with information about their performance on these new measures, which CMS will use to contemplate measure refinements.Read More
A recent article published in Clinical Spine Surgery observed payor reform opportunities for spine surgery. The article, written by Jason Scalise, MD, and David Jacofsky, MD, focuses on bundled payments, and the demands for spine surgery to implement bundled payment strategies. Spine procedures are projected to increase dramatically due to age demographics and other population factors. Substantial focus is being put on this division of musculoskeletal care to find a way to drive consistency and value. The trends and increasing pressures by government and commercial payors to drive accountability to the level of the surgeon should not be thought of as a passing phase by spine surgeons. Below are five key concepts for payor reform in spine surgery from the article.Read More
There are many orthopedic coding that will come with the switch from ICD-9 to ICD-10.This free guide will help you understand ICD-10, prepare for it, and give you the resources to guide your transition.
Due to be released in early July, the CMS will likely propose a 50 percent cut to the technical component of mammography reimbursement in the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule. According to industry experts, cutting down mammography reimbursements could potentially drive down access to a mammography. As a result, imaging organizations are raising questions about outdated reimbursement formulas in an effort to prevent the cuts from happening.Read More