The Centers for Medicare and Medicaid Services (CMS) finalized a rule on the Medicare Shared Savings Program (MSSP) last December, bringing significant changes to the program. Named the “Pathways to Success,” the final rule will require Accountable Care Organizations (ACOs) participating in the MSSP to take greater financial risks. NACHC’s comments on the proposed rule …
Tag: Medicare
Items of Interest to Health Centers in CMS Medicare Physician Fee Schedule Proposed Rule
Update (Nov. 16, 2018): This rule has been finalized as proposed. Beginning January 1, 2019, health centers will be able to bill for these services. NACHC is hosting a webinar on Thursday, November 29, 2018 at 1 pm ET with the Centers for Medicare & Medicaid Services and health center partners to learn more about these …
CMS Releases Rule That Improves Care for Health Center Medicare Patients
The Centers for Medicare and Medicaid Services (CMS) released its final rule on the CY2018 Physician Fee Schedule earlier this month. While this annual rule typically does not impact services for Community Health Centers (because they are not paid on the Physician Fee Schedule), this year’s rule includes some important provisions that boost care for health center …
Update on MACRA Implementation
By now many of you have heard of the new Medicare Quality Payment Program (QPP), born out of the Medicare and CHIP Reauthorization Act of 2015 (MACRA) that went into effect this year. The QPP completely revamps the way Medicare pays its providers and is made up of two tracks, the Merit-Based Incentive Payment System …
2013 Medicare Upper Payment Limits Announced
By: Susan Sumrell CMS has released the 2013 Medicare Upper Payment Limits (also known as the “Medicare cap”). For rural centers, the limit will be $110.78 and for urban centers the limit will be $128. This represents a 0.8% increase in the Medicare Economic Index (MEI) over the 2012 limits. This limit is effective January …
CMS Announces 2013 Application Fee for Medicare, Medicaid and CHIP
By: Susan Sumrell On November 30, 2012, CMS announced the 2013 application fee for those providers initially enrolling in Medicare, Medicaid, or CHIP or revalidating an enrollment or adding a new location. This application fee applies to those providers submitting an 855A application form, which is the form that health centers use to enroll in …
A New Health Center Voice on Medicare
Decision-makers on Medicare now have a fresh voice from the health center community to listen to. Dr. Thomas M. Dean, a board-certified family physician from Horizon Health Care, a Community Health Center in South Dakota, will now sit on the so-called MedPAC panel. MedPAC is an independent federal body created in 1997 to advise Congress …