Reminder: The initial AWV (G0438) is a once-in-a-lifetime benefit for Medicare beneficiaries. ... More information is available from CMS in the Medicare Claims Processing Manual, Chapter 12, Section 30.6.6, online.
QD: News Every Day--A week of waiting for Medicare reimbursement. Congress is considering the doc fix this week, a measure to stave off the 21.3% cut to Medicare reimbursement
Although they can quickly tell me what we spend on patient care in Medicare and what physicians are“ paid,” there are no data about escalating overhead, specifically liability costs. ... My practice is over 90% Medicare, and I cannot generate enough
Physicians have been paid according to the number of visits or procedures they bill for a very long time, almost half a century for Medicare. ... The idea of paying for services according to their value to the beneficiary would be a fundamental departure
Similar to the value-based modifier program, CMS will calculate measures of total per capita costs for attributed beneficiaries and a Medicare Spending per Beneficiary (MSPB) measure. ... The episode-based measures include Medicare Part A and Part B
Medicare and Medicaid contribute more to the growth in federal spending than any other program. ... Cut benefits. Medicare beneficiaries could be required to pay higher co-pays, deductibles and premiums.
President Obama and House Republicans have issued starkly different proposals on the future of Medicare and Medicaid. ... The Ryan plan would also gradually convert Medicare from an open-ended entitlement program to a premium support program.
QD: News Every Day--Medicare holds claims to prevent pay cuts. Today's the deadline for a 21% cut in Medicare reimbursement. ... Congress didn't get a temporary fix pushed through in time, so Medicare is going to hold claims for 10 days to allow
This benefit, often referred to as Medicare Part D, added coverage for prescription drugs for the first time. ... In 2007, the payment for the administration was made under Medicare Part B using the HCPCS code G0377.
QD: News Every Day--Doctors face another short-term Medicare pay fix. With no agreement in sight on permanently fixing Medicare reimbursement, Congress will need to pass another extension to keep