2015 Medicare deductible changes
Medicare has published changes to the premiums and deductibles for 2015. See the latest MLN article for more information. MLN article MM8982CMS finalizes program changes for Medicare Advantage and Prescription Drug Benefit Programs for Contract Year 2015
Beginning June 1, 2015, Medicare will require all physicians and eligible providers who order Durable Medical Equipment, Prosthetics, and Supplies, or certify home health care to be enrolled with Medicare. The statute also permits the Secretary to extend these...Online reset for I&A user IDs (used for PECOS)
CMS recently updated the process for retrieving forgotten user IDs and passwords for the Identity & Access Management (I&A) system. I&A controls access to the Medicare enrollment system PECOS, the National Plan and Provider Enumeration System (NPPES) and...CMS publishes revisions to PPS for FQHC
CMS published a revision to Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs). Except for services that are paid at 100 percent of costs, Medicare currently pays FQHCs 80 percent of their AIR. MACs reconcile costs and...
Proposed 2015 Medicare physician fee schedule
CMS releases proposed 2015 Medicare physician fee schedule The Centers for Medicare & Medicaid Services (CMS) released the proposed Medicare physician fee schedule (PFS) rule for 2015. CMS will accept public comments on the rule until Sept. 2, 2014 and intends to...Prospective Payment System for Federally Qualified Health Centers
The Centers for Medicare & Medicaid Services (CMS) is establishing a Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) with specific payment codes that FQHCs must use in order to ensure payment. implementation begins for cost reporting...2014 OIG Work Plan
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2014 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current...Interim Final Rule: Third Party Payments of Qualified Health Plan Premiums
On March 19, 2014, HHS published an interim final rule on third party payments of Qualified Health Plan Premiums. The rule specifically requires insurance plan issuers to accept third party payments from Ryan White HIV / AIDS Program. The rule, however, continues to...House Passes Another SGR Patch
The House of Representatives passed by voice vote H.R. 4302, which would temporarily delay the 24% cut to Medicare physician payments resulting from the sustainable growth rate (SGR) formula for one year. Many physicians organizations, such as the American Medical...
