Website: http://bulletin.facs.org

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9 selected articles

Qualified Medicare Beneficiary program billing requirements

Physicians participating in the Medicare program are prohibited from billing a Qualified Medicare Beneficiary (QMB) for any Medicare Part A/B premiums or cost-sharing under any circumstances. Patients enrolled in the QMB program--which is an eligibility category that the Centers for Medicare & Medicaid Services (CMS) offers to assist low-income patients under the Medicare Savings Program--are...

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The 2018 Medicare physician fee schedule: An overview of ...

> The 2018 Medicare physician fee schedule: An overview of provisions that will affect surgical practices

The 2018 Medicare physician fee schedule: An overview of provisions that will affect surgical practices

By Lauren Foe, MPH , Jill Sage, MPH and Robert L. Kopp, MPH

PUBLISHED January 6, 2018 o Print-Friendly

New payment policy, coding, and reimbursement changes set forth in the 2018 Medicare...

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Date: 2018-03-20 19:17:01

Billing for services performed by nonphysician practitioners

> Billing for services performed by nonphysician practitioners

Billing for services performed by nonphysician practitioners

By Linda Barney, MD, FACS , Betsy Nicoletti, CPC and Mark Savarise, MD, MBA, FACS

PUBLISHED May 1, 2014 o Print-Friendly

When surgeons find their workload is getting overwhelming, they sometimes consider adding another surgeon or a nonphysician practitioner (NPP), such as...

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Date: 2018-03-20 18:21:24

Understanding Medicare Part B incident to billing | The ...

> Understanding Medicare Part B incident to billing

Understanding Medicare Part B incident to billing

By Neha Agrawal, MPH

PUBLISHED August 1, 2016 o Print-Friendly

As the number of nonphysician practitioners (NPPs) hired by physicians' offices continues to grow, it is important to understand Medicare's incident to billing policies. NPPs who provide patient services and report these services to...

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Date: 2018-03-20 17:42:29

The Merit-based Incentive Payment System for small and ...

> The Merit-based Incentive Payment System for small and rural practices

The Merit-based Incentive Payment System for small and rural practices

PUBLISHED October 4, 2017 o Print-Friendly

Participating CBO contact information

Network for Regional Healthcare Improvement (NRHI)

UT, OR, and NV:

QPP-SURS@qualishealth.org

Toll-free at 1-877-560-2618

The Medicare Access and CHIP (Children's Health...

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The 2019 Medicare physician fee schedule: An overview of ...

New payment policy, coding, and reimbursement changes set forth in the 2019 Medicare physician fee schedule (MPFS) final rule took effect January 1. The MPFS, which the Centers for Medicare & Medicaid Services (CMS) updates annually, lists payment rates for Medicare Part B services and introduces or modifies other regulations that affect physician reimbursement and quality measurement.

The...

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Coding and reimbursement for colonoscopy | The Bulletin

Coding and reimbursement for colonoscopy

Coding and reimbursement for colonoscopy

PUBLISHED May 1, 2016 o Print-Friendly

Resources for colonoscopy coding and reimbursement

This month's column addresses coding and reimbursement questions regarding a procedure performed by many general surgeons: colonoscopy.

Coding issues

Much of the confusion with respect to coding for colonoscopy arises from the...

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Date: 2018-03-20 17:20:15

Medicare and Medicaid audits | The Bulletin

Appeals process

Medicare RACs

Medicare RACs use proprietary software programs to conduct two types of audits: automated, for which a decision can be made without requesting a medical record, and complex, for which the Medicare RAC will contact the provider to request medical records to make a decision about the payment.Limits exist on the number of documents RACs can request from providers.

There...

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Date: 2018-03-20 22:09:00

Related topics : medicare appeals process for providers / medicare appeals process / medicare appeals levels / medicare and medicaid are services provided by / medicare medicaid provider number

The Physician Compare website | The Bulletin

2017

VM

This information will be made available either on a physician's profile page, or available for download. PQRS measures information will be split between the formats. CMS has yet to determine which PQRS measures will be available in which format, but VM information will be available for download.

What does the star rating on my profile mean?

CMS will publicly report measure-level...

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Related topics : fee for service providers medicare / cms medicare compare / cms medicare provider / fee for service medicare / medicare service providers