Fact Sheet | Physician Payment and Reimbursement

Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Proposed Rule Summary

Fact Sheet | Physician Payment and Reimbursement

Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Proposed Rule Summary

This document provides a summary of the proposed rule establishing the Merit-based Incentive Payment System (MIPS) for MIPS eligible clinicians or groups under the Physician Fee Schedule (PFS) and incentives for participation in certain alternative payment models (APMs).

On April 27, 2016, the Centers for Medicare & Medicaid Services (CMS) placed on public display a proposed rule establishing the Merit-based Incentive Payment System (MIPS) for MIPS eligible clinicians or groups under the Physician Fee Schedule (PFS). The proposed rule also establishes incentives for participation in certain alternative payment models (APMs).  The proposed rule was published in the May 9, 2016, issue of the Federal Register.  If finalized, policies in the proposed rule generally would take effect on January 1, 2017.  The 60-day comment period ends at close of business on June 27, 2016.

Download the fact sheet 

 

Advertisements

Related Articles | Physician Payment and Reimbursement

News | Compliance

Battle emerges over value-based safe harbors included in anti-fraud overhaul

Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.

Trend | Medicare Payment and Reimbursement

'Medicare for All': What would it really mean for healthcare stakeholders?

“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.

News | Innovation and Disruption

Dec. 16-20: CMS comment deadlines are among upcoming healthcare finance developments

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 16.

Fact Sheet | Payment, Reimbursement, and Managed Care

CY 2020 Physician Fee Schedule Final Rule Summary Part I

This document summarizes the CY 2020 Medicare Physician Fee Schedule final rule, published by CMS in the November 15, 2019, Federal Register.