ISASS Seeks Fair Payment Dispute Resolution for Surprise Medical Billing Disputes On November 18, 2021, ISASS and several medical societies signed a letter urging the U.S. Department of Health and Human Services to revise requirements set forth in the most recent Interim Final Rule implementing the No Surprises Act. The act directs Independent Dispute Resolution (IDR) entities...
Spine Surgery Procedure RVUs Reviewed as Part of the Medicare Physician Fee Schedule 2022 Final Rule As part of the 2022 Medicare Physician Fee Schedule proposed rule, several sets of spinal surgical procedures were included as either new to the Physician Fee Schedule or existing services that were reviewed or revalued. Specifically, CMS reviewed new...
CMS to Apply MIPS Automatic Extreme and Uncontrollable Circumstances Policy for the 2021 Performance Year On November 11, 2021, CMS announced they are applying the Merit-based Incentive Payment System (MIPS) automatic extreme and uncontrollable circumstances (EUC) policy to ALL individually eligible MIPS clinicians for the 2021 performance year (PY). Please note that this announcement is for P...
CMS Releases 2022 Outpatient Prospective Payment System/ Ambulatory Surgical Center Final Rule On November 2, 2022, CMS released a final rule for the Calendar Year (CY) 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. Price Transparency Beginning January 1, 2022, CMS will increase the penalty for some hospitals that...