The 2022 CMS PFS And QPP Final Rule: A Warning Shot To Provider Holdouts Of Value-Based APMs

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, alternative payment models, APMs, CMS, Medicare, Medicare Physician Fee Schedule, PFS, Physician Fee Schedule, value-based APMs, value-based care

CMS has released the 2022 Physician Fee Schedule and Quality Payment Program (QPP) Final Rule, and the message of these 2,414 pages is clear: CMS wants to push providers into value-based care arrangements. That intent was foreshadowed by the Proposed Rule released over the summer, which confirmed our predictions of trends under the Biden administration. Specifically, we saw a push…

NEW KID ON THE BLOCK: REMOTE THERAPEUTIC MONITORING TO MAKE ITS WAY INTO CMS 2022 MEDICARE PHYSICIAN FEE SCHEDULE

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, CMS, Medicare, Medicare Physician Fee Schedule, Physician Fee Schedule, remote patient monitoring, remote therapeutic monitoring, RTM, Telehealth, Telemedicine

Recently, The Centers for Medicare and Medicaid Services (CMS) released a proposal for it’s 2022 Physician Fee Schedule. Over the last several years, more non-traditional modalities of healthcare have found their way into the CMS reimbursement landscape. This is promising as it suggests that CMS is aligning themselves with consumer demand and technology developments by…

Lack of Healthcare Interoperability Hinders Electronic ACO Reporting

September 16, 2021Garrett SchmittNo CommentsACO, ACO reporting, clinical quality measures, CMS, eCQM, eCQMs, EHRs, electronic clinical quality measures, fee schedule, Interoperability, Medicare Physician Fee Schedule, MSSP, Physician Fee Schedule, quality of care, reporting

CMS is looking to modernize the ACO reporting process by mandating the use of electronic clinical quality measures (eCQMs). However, accountable care organizations (ACOs) are concerned that the lack of healthcare interoperability will make electronic ACO reporting near impossible. “CMS must avoid making eCQMs mandatory until standard data fields exist across EHRs, and true interoperability…

The Good and Bad of the Medicare Physician Fee Schedule Proposal

July 14, 2021Garrett SchmittNo CommentsMedicare Physician Fee Schedule, MSSP, PFS, physicians, Telehealth

Physician groups are calling the Medicare Physician Fee Schedule proposed rule a mixed bag for practices, which now face a potential reduction in physician reimbursement next year, among other changes. “The proposed 2022 Medicare Physician Fee Schedule (PFS) represents a mixed bag for physician practices,” Anders Gilberg, senior vice president of government affairs at the…

Medicare ACOs Facing Multiple Changes and Challenges

July 6, 2021Garrett SchmittNo CommentsACOs, Alternative Payment Model Performance Pathway, APMs, CMS, data collection, EHRs, Medicare, Medicare ACOs, Medicare Physician Fee Schedule, MedPAC, MSSP, Nextgen, rural glitch

Doctors in accountable care organizations (ACOs), and those thinking of starting or joining one, have had their hands full keeping up with changes in the way Medicare is administering them. ACOs are groups of doctors, hospitals, and/or other healthcare providers that work together with a goal of providing better care at lower cost. As part…

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