On Dec. 16, the Centers for Medicare and Medicaid Services (CMS) announced an updated 2022 physician fee schedule conversion factor of $34.6062, according to McDermott+Consulting. This represents a 0.82% cut from the 2021 conversion factor of $34.8931. However, it also reflects an increase from [...]

In November the Centers for Medicare and Medicaid Services (CMS) finalized proposals and outlined its plans to completely restructure the Merit-based Incentive Payment System (MIPS) program. This comes as no surprise, as CMS introduced the concept of MIPS Value Pathways through the rulemaking process [...]

On Dec. 9, 2021, the American Medical Association (AMA) and American Hospital Association (AHA), along with individual hospital and physicians’ plaintiffs, filed a lawsuit in federal district court against the federal government over what the plaintiffs believe is the ill-advised implementation of the federal [...]

Congress passed legislation (S610) that will reduce or delay many of the Medicare physician reimbursement cuts that were set to go into effect Jan. 1, 2022. President Biden signed S610 into law on Dec. 10. The law will reduce or delay the following Medicare [...]

Merit-based Incentive Payment System (MIPS) eligible clinicians, groups, and virtual groups may apply to reweight any or all MIPS performance categories if they’ve been affected by extreme and uncontrollable circumstances that impact these categories. Extreme and uncontrollable circumstances are defined as rare events entirely [...]

The Centers for Medicare and Medicare Services (CMS) is repealing the “Medicare Coverage of Innovative Technology and Definition of “Reasonable and Necessary” final rule. In rescinding the rule, CMS acknowledges concerns that requirements in the final rule may be inadequate to safeguard Medicare patients. [...]

On Sept. 30, 2021, the U.S. departments of Health and Human Services (HHS), Treasury, and Labor, along with the Office of Personnel Management, released a second interim final rule related to “surprise billing.” AASM previously published a summary of the No Surprises Act and an analysis of part [...]