Centers For Medicare And Medicaid Services
Reimbursement, utilization of orthopedic surgery gradually declined in CMS population
SAN DIEGO — Reimbursement and utilization rates have gradually declined for orthopedic surgeries in the CMS population, according to results presented here.
ACR cheers ‘positive first step’ in reforming prior authorization for Medicare
Prior authorization reforms, increased biosimilar access and the future of the Medicare drug price negotiation program are among the American College of Rheumatology’s top concerns in a letter recently submitted to CMS.
‘We applaud CMS’: Two more rheumatology drugs bound for Medicare price negotiation
The second round of Medicare Part D price negotiations will feature two drugs familiar to rheumatologists — Ofev and Otezla — a move applauded by experts as they await the impact of the first-round of discounts anticipated next year.
VIDEO: CMS drops in-office physician requirement for incident-to billing
KOLOA, Hawaii — In this video from Orthopedics Today Hawaii, David M. Glaser, JD, discusses changes to incident-to billing requirements made by CMS.
VIDEO: Updates to Stark Law may impact physician compensation formulas
KOLOA, Hawaii — In this video from Orthopedics Today Hawaii, David M. Glaser, JD, discusses how CMS updated the Stark Law and how the update may impact compensation formulas for physicians.
ACR urges congressional leaders to reform ‘underwater’ biosimilar reimbursement
The American College of Rheumatology has joined a coalition of more than 40 other organizations calling on congressional leaders to address what they see as insufficient Medicare reimbursements for biosimilars.
VIDEO: Quality metrics top issues that matter most to nephrologists, patients
SAN DIEGO — In this video exclusive from ASN Kidney Week, Jeffrey Giullian, MD, MBA, FASN, chief medical officer of DaVita, discusses three pressing regulatory issues for nephrology stakeholders.
ACR calls for ‘appropriate reimbursement’ from CMS after proposed 5th year of cuts
The American College of Rheumatology has submitted comments to CMS on proposed cuts to physician payments, warning of worsened burnout and staff shortages, and calling for “appropriate reimbursement,” according to a press release.
Follow-up care after CV hospitalization rising, but not for some groups
Overall rates of postdischarge follow-up care after heart disease hospitalization has increased, but gaps in follow-up care for Black and Medicaid dual-eligible patients widened, researchers reported.
ID add-on code proposed in new CMS fee schedule
CMS included a new infectious disease consult add-on code as part of its proposed new fee schedule could help improve compensation for ID clinicians, according to the Infectious Diseases Society of America.