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

Sign up for a free guest account and get access to five free articles every month.

Advertisements

Related Articles | Medicare Payment and Reimbursement

News | Wage Index

The Medicare area wage index likely needs a revamp, MedPAC members say

Wage index adjustments leave some hospitals at a disadvantage and are costly for the Medicare program, according to policy advisers.

News | Payment Models

Accountable care models will be almost universal for Medicare and Medicaid beneficiaries by 2030, CMS leaders say

A forthcoming revamp of federal value-based payment models will include features designed to encourage provider participation, CMS and CMMI leaders said.

Blog | Claims Adjudication

Hospital groups express concern over earlier court ruling that could expand False Claims Act liability

The groups argue that allowing FCA claims to be brought for post-termination actions would defy congressional intent and leave hospitals subject to excessive financial liability.

News | Cost Effectiveness of Health

The stakes are only growing in efforts to improve the cost effectiveness of health, CMMI’s Elizabeth Fowler says

The head of the Center for Medicare & Medicaid Innovation spoke with an HFMA audience about the importance of efforts at the federal level and beyond to improve the cost effectiveness of health.