Jeffrey Davis on Physician Fee Schedule

Could a Solution to a Major Medicare Physician Payment Issue Be on the Horizon?

It’s mid-October, which means that the Centers for Medicare & Medicaid Services (CMS) is close to releasing the final calendar year (CY) 2024 Medicare payment regulations. CMS is expected to issue the CY 2024 Physician Fee...more

10/19/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare , Healthcare Reform , Medicare , Physician Fee Schedule , Physicians

The Comments are In! Responses to the Physician Fee Schedule Proposed Reg

Time’s up and pencils down! Comments on the calendar year (CY) 2024 physician fee schedule (PFS) proposed reg were due earlier this week. Now, the Centers for Medicare & Medicaid Services (CMS) will have to review them and...more

9/15/2023 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Health Care Providers , Medicaid , Medical Monitoring , Medicare , Physician Fee Schedule , Physicians , Proposed Regulation , Quality Payment Program (QPP) , Telehealth

The MIPS Effect: A Surprise Twist in Estimating Medicare Payments for Clinicians Next Year

As physician groups and other stakeholders work to finalize comment letters on the calendar year (CY) 2024 Physician Fee Schedule (PFS) proposed regulation by September 11, 2023, the Centers for Medicare & Medicaid Services...more

8/24/2023 / Affordable Care Act , Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Medicaid , Medicare , MIPS , Physician Fee Schedule , Physicians

Overall Medicare Hospital Payments Will Increase in FY 2024, but Some Hospitals Could See a Decrease

Congress may be on summer break, but reg season is in full swing. Last week, the Centers for Medicare & Medicaid Services (CMS) released a final reg that will impact Medicare hospital payments in fiscal year (FY) 2024, which...more

8/10/2023 / American Hospital Association , Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Hospitals , MACPAC , Medicaid , Medicare , Medicare Part A , Physician Fee Schedule , Provider Payments

Breaking Down the CY 2024 Hospital Outpatient Proposed Reg

As most of you already know, the Centers for Medicare & Medicaid Services (CMS) recently released two Medicare payment regulations: the Calendar Year (CY) 2024 Physician Fee Schedule (PFS) proposed reg and the CY 2024...more

7/27/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Inpatient Billing , Medicare , Outpatient Prospective Payment System (OPPS) , Outpatient Services , Payment Systems , Pharmaceutical Industry , Physician Fee Schedule , Price Transparency , Section 340B

The CY 2024 Physician Fee Schedule Proposed Reg: The Good, the Bad and the Ugly

Last week, the Centers for Medicare & Medicaid Services (CMS) released the two major regulations we all were waiting for: the Calendar Year (CY) 2024 Physician Fee Schedule (PFS) proposed reg and the CY 2024 Outpatient...more

7/20/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare Facilities , Medicare , Outpatient Prospective Payment System (OPPS) , Outpatient Services , Physician Fee Schedule , Physicians , Proposed Regulation , Provider Payments , Telehealth

Policy Update - CMS Releases CY 2024 Physician Fee Schedule Proposed Rule

On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

7/18/2023 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Part B , Physician Fee Schedule , Physicians , Proposed Rules , Quality Payment Program (QPP)

House Holds Hearing on MACRA Challenges, but Meaningful Reform is Unlikely

On June 22, 2023, the US House of Representatives Committee on Energy and Commerce Subcommittee on Oversight and Investigations held a hearing titled “MACRA Checkup: Assessing Implementation and Challenges that Remain for...more

7/7/2023 / Alternative Payment Models (APM) , Children's Health Insurance Program (CHIP) , Healthcare Reform , Medicare , Medicare Access and CHIP Reauthorization (MACRA) , MIPS , Patients , Physician Fee Schedule , Physicians , Quality Payment Program (QPP)

Jeffrey Davis

McDermott Will & Schulte

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