Do You Want to Change Your Medicare Participation?
Are you wanting to change your participation status with Medicare? The deadline is quickly approaching. Read the article to learn more!
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Understanding Balance Billing for Chiropractic Physicians and Medicare Advantage (MA) Plans
Medicare Advantage billing can be complex, especially for chiropractic physicians navigating balance billing rules. Billing practices depend on whether the provider is contracted with the MA plan or participates in Original Medicare, dictating what costs can be passed to patients.
Read MoreWhat is Happening with the 2024 Medicare Fee Schedule
Get updates on the 2024 Medicare Fee Schedule and its billing implications. Stick to the current fee schedule to avoid administrative hassles and ensure proper reimbursement, regardless of potential changes in March.
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Proposed Bill Reduces Medicare Fee Cuts
On Monday night, Congress introduced the Consolidated Appropriations Act, 2023, which is a bi-partisan budget deal worth $1.66 billion for 2023. The deal aims to partially address the upcoming Medicare fee schedule cuts. The Act was passed by the Senate on Wednesday. For more information, please read the article.
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Medicare Announces Part B Deductible for 2021
Recent legislation signed by President Trump significantly dampened the 2021 Medicare Part B premium increase that would have occurred, given the estimated growth in Medicare spending next year. The standard monthly premium for Medicare Part B enrollees will be $148.50 in 2021, an increase of $3.90 from $144.60 in 2020. CMS also announced that the annual deductible for Medicare Part B beneficiaries is increasing.
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2019 Medicare Fee Schedule, MIPS Update, and More
A few weeks ago, the Centers for Medicare and Medicaid Services (CMS) released their final rule for 2019. In that release, CMS included the 2019 Medicare fee schedule, a change to the MIPS participation rules, and significant changes to evaluation and management coding and documentation.
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CMS Eases Eligibility Threshold Again on MIPS Participation
The Centers for Medicare and Medicaid Services (CMS) announced today that they intend to further raise the threshold for participation in its Merit-Based Incentive Payment System (MIPS). In its much-anticipated proposed 2018 rule for the Quality Payment Program (QPP), CMSproposed to increase the threshold to exclude MIPS-eligible clinicians or groups with $90,000 or less in Part B-allowed Medicare charges or 200 or fewer Part B Medicare beneficiaries.
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Medicare’s Quality Payment Program
As part of the latest proposal to fix this problem, the Medicare Access and CHIP Reauthorization Act (MACRA) was passed in 2015.
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