NAMDRC

The National Association for Medical Direction of Respiratory Care

The Washington Watchline

Medicare’s Proposed Fee Schedules for 2017

The proposed Hospital Outpatient Prospective Payment for 2017 (HOPPS) and the proposed Physician Fee Schedule for 2017 (MPFS) were published by the Centers for Medicare and Medicaid (CMS) in the Federal Register on July 14 and July 15 respectively. The proposed rules and regulations address issues which we have discussed in previous editions of the Washington Watchline. One of the principle issues addressed in the HOPPS is the issue of Provider Based Billing. 

The New World of Alternate Payment Models

As noted in last month’s Washington Watchline, and often repeated in notices from the Centers for Medicare and Medicaid Services (CMS), it is the intent of the Administration to shift Medicare physician compensation out of fee for service and into Alternate Payment Models (APMs). The goal is to have this completed by 2025. The process begins in 2017 with the implementation of the financial levers established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

The Revised Medicare Financial Controls For Physicians

On Wednesday, April 27, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule that would establish key parameters for the new Quality Payment Program required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). This legislation, which repealed the SGR formula, has been hailed as the most significant Medicare reform in two decades. This legislation established programs that increase Medicare control over physician compensation and allowed Congress to repeal the SGR formula.

Proposed Inpatient Rule Impacts Pneumonia

On April 18, 2016 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to update fiscal year 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS). The proposed rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect discharges occurring on or after October 1, 2016. The proposed payment policies are driven by the budget mandate to reduce net Medicare spending by $423 billion between 2016 and 2025.

NAMDRC Addresses Medical Device Innovation

The 2016 Annual Meeting and Educational Conference of the National Association for Medical Direction of Respiratory Care (NAMDRC) was recently held at The Omni Rancho Las Palmas Resort, Rancho Mirage, California. This meeting focused on The Role of Technology in Pulmonary, Critical Care and Sleep Medicine and continued the well-established tradition of combining evolving science with experienced clinical perspective.

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