All MedFocus Articles

Monday, December 27, 2010

CMS is working to implement several important new provisions for Medicare beneficiaries made possible by the Affordable Care Act - the health reform law. 

 

In 2011:

  • Beneficiaries who reach the prescription drug coverage gap, known as the donut hole,...
Tuesday, December 21, 2010

Sebelius and Holder Announce New Tools to Prevent and Fight Fraud at Boston Regional Healthcare Fraud Prevention Summit

 

As part of the Obama Administration's ongoing efforts to prevent and...

Monday, December 20, 2010

On Wed. Dec 15, 2010, President Obama signed into law the Medicare and Medicaid Extenders Act of 2010 (MMEA).  In addition to preventing a scheduled payment cut for physicians who treat Medicare patients, it included other provisions that will affect physicians pay.  Here are...

Friday, December 17, 2010

 

This week Obama signed the bill that postpones any cuts in...

Thursday, December 9, 2010

Yesterday the Senate, by unanimous consent, approved legislation necessary to prevent the scheduled 25% SGR related cut from occurring on January  1, 2011.  The legislation would impose a one-year freeze on the Medicare conversion factor for 2011, effectively extending the 2010...

Wednesday, December 8, 2010

Today the House of Representatives passed an exemption for physicians to the anti-identity theft requirements commonly known as the "Red Flags" rule.  The exemption measure is titled the...

Monday, November 29, 2010

This afternoon, the House of Representatives passed bill HR 5712 that provides for a one month delay in the 23% cut in payment rates that otherwise would have taken effect on December 1.  Recall that the bill passed the Senate before the Thanksgiving recess. 

 

While...

Friday, November 19, 2010

Last evening (11/18) the Senate, by unanimous consent, approved a one-month extension of the current payment levels for Medicare Part B.  This would avoid the 23% SGR related cut that is scheduled to go into effect on December 1.  This temporary extension would postpone the SGR cut...

Tuesday, November 16, 2010

The Centers for Medicare and Medicaid Services (CMS) has set the Medicare premiums, deductibles and coinsurance amounts to be paid by Medicare beneficiaries in 2011.   Program payment changes are determined in accordance with a statutory formula.   Those who enroll in...

Friday, November 5, 2010

Understanding the Physician Pay Problem

By Rex Stanley, RN, CMM, CPC, CHBC, CRS, CHCC, PCS

On November 30, physician pay is still due to plunge 21.2 percent and cumulatively 40 percent by 2016, while
the cost of business is expected to soar 20 percent in that time. The...

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