Self-help materials, phone calls, and Web-based counseling are not paid separately by Medicare and are not covered. ... Medicare beneficiaries with obesity, measured by a body mass index (BMI) greater than or equal to 30 kg/m.
Medicare ramps up rationing of cardiac and orthopedic care. With the announcement that the Center for Medicare and Medicaid Services (CMS) will begin auditing 100% of expensive cardiovascular and orthopedic procedures ... The Center for Medicare and
Health and Human Services announces push to end fee-for-service payments for Medicare. ... In their Jan. 26 announcement, HHS has characterized the evolution of Medicare payment as a series of 4 steps, or categories.
QD: News Every Day--Medicare further delays payments in case 'doc fix' passes. ... Republicans countered with calls for offsetting the additional costs of not cutting physician's Medicare reimbursement, and that health care reform passed earlier this
Medicare providers may perform a medically necessary diagnostic electrocardiogram (EKG) on the same day as an AWV (G0438 or G0439). ... The annual Medicare Part B deductible and co-insurance are waived for the AWV.
This meant that any prevention that I did perform on my Medicare patients had to be done on the side during problem-oriented visits. ... The Medicare Preventive Care Visit came into effect, paying well for keeping people well.
CMS set up the RAC program to detect and resolve past payment errors in Medicare fee-for-service claims. ... 5. All physician practices should contact their local Medicare fee-for-service contractor (MAC) for specific testing schedules.
QD: News Every Day--Doctors worn down, quitting from Medicare uncertainty. The Senate continues to look for consensus to avoid a catastrophic 21.3% cut in Medicare reimbursement that takes effect ... Associated Press, Washington Post, Kaiser Health News).
Q: How do specialties provide input to the relative values Medicare assigns to services? ... A: ACP and other physician organizations engage CMS directly regarding RBRVS maintenance and Medicare payments.
QD: News Every Day--How will Medicare reimbursement fare post-election? Failure to permanently fix Medicare reimbursement would be a catastrophe, says Cecil B. ... But Congress is entering its lame-duck session, and will likely have just one week to