Course | Basic | Medicare Payment and Reimbursement
In this course we will address scheduling processes, including<div><ul><li>Patient identification</li><li>Requested service</li><li>Medical necessity screening</li><li>Medicare Advance Beneficiary Notice of Noncoverage processing</li><li>Pa...
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Course | Overview | Medicare Payment and Reimbursement
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recen...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides an overview of the prospective payment systems used in the Medicare program and as well as Medicare fee schedules. This course provides a general discussion and overview of Medicare reimbursement under the Inpatient Pro...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective paym...
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On Demand Webinar | Intermediate | Medicare Payment and Reimbursement
As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingl...
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Comment Letter | Medicare Payment and Reimbursement

HFMA Comments on the CY 2019 Physician Fee Schedule Proposed Rule

Comment Letter | Medicare Payment and Reimbursement

HFMA Comments on the CY 2019 Physician Fee Schedule Proposed Rule

HFMA submits comments to CMS on the CY 2019 Medicare Physician Fee Schedule Proposed Rule, published in the July 27, 2018, Federal Register.

HFMA would like to commend CMS for its thorough analysis and discussion of the myriad Medicare reimbursement decisions addressed in the 2019 Proposed Rule. Our members would like to comment on the proposals related to the following:

 

  • Minimizing Documentation Requirements by Simplifying Payment Amount
  • MIPS Proposed Addition of Low-Volume Threshold Criterion Based on Number of Covered Professional Services; Low-Volume Threshold Opt-In
  • MIPS Performance Category Measures and Activities
  • MIPS Facility-Based Measurement
  • Exclusion of MIPS Eligible Clinicians Participating in the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration
  • Identification and Review of Potentially Misvalued Services
  • Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging  Services
  • Request for Information on Price Transparency: Improving Beneficiary Access to Provider and Supplier Charge Information

Download the comment letter

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