The Centers for Medicare & Medicaid Services (CMS) recently released a series of final rules for 2018 that will impact Medicare reimbursement.
To help you understand these new regulations and the implications for your practice, Dr. Bruce Feinberg, DO, Chief Medical Officer for Cardinal Health Specialty Solutions and healthcare policy expert Martie Ross of Pershing Yoakley & Associates break down the key provisions in our latest Regulatory Roundup podcast episode.
Topics covered include:
- MACRA/MIPS changes for the 2018 performance year – What the increased low-volume exemption means for oncologists, plus higher performance thresholds, bonus points for more complex patients and an update on 2014 edition EHRs
- Leveling the playing field between independent and hospital-employed physicians – CMS’ continued efforts in this area, including payment reductions for 340B drugs and off-campus outpatient departments.
- Medicare Physician Fee Schedule adjustments for 2018 – A slight increase in the conversion factor, the impact of mis-valued codes, adjustments based on Value Modifier and decision-support mechanisms for appropriate use criteria.