The National Association for Medical Direction of Respiratory Care

The Washington Watchline

CMS Proposes Alterations to the “Stark Law” for 2016

In the proposed Medicare Physicians Fee Schedule for 2016, The Centers for Medicare and Medicaid Services (CMS) recognizes the increasing conflict between their goal of transitioning from a system of fragmented medical care to one of shared responsibility and the prohibitions against certain financial relationships established by the Stark legislation.

The 2016 Proposed Medicare Physicians Fee Schedule

On July 08, 2015, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule that updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) for CY 2016.

Prix Fixe Medical Care

The recently released Proposed 2016 Inpatient Prospective Payment System (IPPS), includes a request for public comments regarding policy and operational issues related to expansion of the Bundled Payments for Care Improvement (BPCI) initiative.

NAMDRC Takes on the Challenge of Improving Patient Safety

Patients admitted to acute care hospitals for a variety of reasons are at risk for worsening respiratory function that can progress to respiratory failure, often requiring transfer to the intensive care unit and ventilator support. NAMDRC recently hosted a multi-society round table to examine the question of whether a high risk patient population can be defined and if there are overlooked opportunities to intervene in order to prevent progressive respiratory failure and improve patient safety.

The 2016 IPPS, Pneumonia as a Focus of Quality Measurement

On April 17, 2015 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update fiscal year 2016 Medicare payment policies and and rates under the Inpatient Prospective Payment System (IPPS).  While the rule pertains to compensation for Part A Medicare services, it contains items of interest for any physician with an impatient practice billing Part B services.

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