Congress Considers Legislation to Reform Physician Payment Policies Congress is currently considering legislation that would provide annual positive updates for physician services under Medicare. Introduced by a bipartisan group of physician members of Congress, the Strengthening Medicare for Patients and Providers Act would provide annual inflationary updates for Medicare physician services....
CMS Announces Revision to New Payment Edits for Spine Surgery The July 1, 2023, the National Correct Coding Initiative Procedure-to-Procedure (PTP) edit file for Medicare claims includes Column 1 codes 22630, 22632, 22633, and 22634 with Column 2 codes 63052 and 63053 with Correct Coding Modifier Indicator (CCMI) of 1. This means that CMS will...
National Study to Document Changes in Physician Practice Expenses The American Medical Association (AMA) is undertaking a new national study, supported by 173 healthcare organizations, including ISASS, to collect representative data on physician practice expenses. The aim of the Physician Practice Information Survey is to better understand the costs faced by today’s physician practices to...
CMS Announces Changes to Processes for Payment for Emerging Technologies On June 23, 2023, CMS issued a public notice describing its new regulatory pathway process for breakthrough devices through the national coverage determination process. The announcement states that the new Transitional Coverage for Emerging Technologies pathway will use a review process parallel with the Food...