AMA House of Delegates Addresses Several Issues in June 2021 House of Delegates Annual Meeting Nearly 700 physicians, residents and medical students gathered for the June 2021 American Medical Association (AMA) Special Meeting of the AMA House of Delegates (HOD) held Friday, June 11, through Wednesday, June 16, to consider a wide array of proposals to help fulfill the...
CMS Responds to Request for Delay of Prior Authorization of Cervical Fusion Procedures In a letter dated June 3, 2021, CMS’ Director of Provider Compliance, Connie Leonard responded to an April 7, 2021, letter from a coalition of healthcare stakeholders, including ISASS, asking CMS to delay implementation of prior authorization in the ambulatory surgical center...
Medicare Administrative Contractors Announce Resumption of Payment Reviews Beginning in August 2020 Beginning August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. MACs may now begin conducting post-payment medical reviews for later dates of service. The CMS Targeted Probe and Educate program (intensive...
CMS Post-performance Information From the 2019 Quality Payment Program As of June 2021, the CMS has made available newly added Quality Payment Program (QPP) performance information for physicians, clinicians, groups, and Accountable Care Organizations (ACOs) to the Doctors and Clinicians section of Medicare Care Compare and in the Provider Data Catalog (PDC). CMS is required to report eligible...