Outpatient Prospective Payment System Pricer Update
The Outpatient Prospective Payment System (OPPS) Pricer webpage has been updated with new payment files for the 2011 Update to the OPPS, as specified in Change Request #7443. If you…
National
Expanding Multiple Procedure Payment Reduction (MPPR) Policy
Medicare has a longstanding policy to reduce payment by 50 percent for the second andsubsequent surgical procedures furnished to the same patient by the same physician on thesame day. Effective…
Annual Wellness Visit
The proposed rule adds a Health Risk Assessment (HRA) as a required element for the annualwellness visit (AWV) beginning in 2012. Regulations for Medicare coverage of the AWV are established…
Physician Quality Reporting Initiatives (PQRS)
Methods of Participation: Currently, there are two ways an eligible professional may participate in the Physician Quality Reporting System: (1) Individual eligible professional or (2) Group practice reporting option (GPRO)…
E-prescribing Incentive Program
Key Elements of the 2012 proposed rule include: Modification of measure to allow EPs to use either a qualified e-prescribing system or certified HER system Criteria will parallel 2012 and…
Physician Compare Website
CMS is developing the Physician Compare Website in stages. For 2012, CMS proposes to make public the performance rates of the quality measures that group practices submit under the 2012…