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13 Results Found
CMS lifts claims hold on PFS, other claims amid government shutdown
The Centers for Medicare & Medicaid Services Oct. 21 announced that it has instructed all Medicare Administrative Contractors to lift a hold and begin processing claims dated Oct. 1 and later for those paid under the Medicare Physician Fee Schedule, ground ambulance transport claims and federally qualified health center claims.
CMS issues CY 2026 physician fee schedule proposed rule
The Centers for Medicare & Medicaid Services July 14 released its calendar year 2026 proposed rule for the physician fee schedule.
MedPAC releases June report to Congress on Medicare and the health care delivery system
The Medicare Payment Advisory Commission June 13 released its June report to Congress that outlines recommendations for hospital and other Medicare payment systems.
CMS suspends MIPS improvement activities for the 2025 performance year
The Centers for Medicare & Medicaid Services is suspending (https://www.cms.gov/search/cms?keys=MIPS+activities+suspended) eight improvement activities for the 2025 performance year for the Merit-based Incentive Payment System under the Physician Fee Schedule.
AHA calls on MedPAC to act on physician fee schedule payments following recommendations
The AHA today urged the Medicare Payment Advisory Commission to take specific actions on physician fee schedule payments following recommendations the commission made during its March meeting.
AHA opposes legislation allowing physician self-referrals, POH expansion
The AHA March 27 voiced opposition to the Physician Led and Rural Access to Quality Care Act (H.R. 2191), a bill that would lift the ban on the establishment of physician-owned hospitals in certain rural areas and permit the unfettered expansion of POHs nationwide, regardless of location.
CMS issues CY 2025 physician fee schedule final rule
The Centers for Medicare & Medicaid Services Nov. 1 released its calendar year 2025 final rule for the physician fee schedule.
CMS issues CY 2025 physician fee schedule proposed rule
The Centers for Medicare & Medicaid Services July 10 released its calendar year 2025 proposed rule for the physician fee schedule.
HHS releases final rule disincentivizing health care providers that commit information blocking
The Department of Health and Human Services June 24 released a final rule that would disincentivize health care providers for interfering with the access, exchange or use of electronic health information. AHA previously expressed concern when the rule was proposed, saying it could threaten the financial viability of economically fragile hospitals.
Theories Don’t Replace Facts: Physician-owned Hospitals Cherry-pick Patients, Lead to Lower Quality and Less Access
For more than a decade, the Ethics in Patient Referrals Act, more commonly known as the “Stark Law,” has protected the Medicare program from unfettered growth in physician-owned facilities and further expanding their practices of selecting the healthiest and most profitable patients, driving up utilization, and deferring emergency services to publicly funded 911 services or general acute care hospitals when their patients need emergency care.