July 26, 2016

2017 Proposed Physician Fee Schedule

On July 7, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2017. The PFS pays for services furnished by physicians and other practitioners in all sites of service. These services include but are not limited to visits, surgical procedures, diagnostic tests, therapy services, and specified preventive services. CMS will accept comments on the proposed rule until September 6, 2016, and will issue the final rule by November 1, 2016. To set payment rates, CMS evaluates three components of medical services/procedures: physician work, practice expense, and malpractice expense. Each component is assigned a […]
July 1, 2016

ISASS Signs On to Letter in Support of S. 2978

ISASS recently signed on to a multi-specialty letter to U.S. Senator John Barrasso, MD in support of the “Protect Continuing Physician Education and Patient Care Act” (S. 2978), which would protect the dissemination of peer and independent third-party reviewed services and products that improve patient care. The legislation clarifies a provision in the Sunshine Act (Act) that excludes “educational materials that directly benefit patients or are intended for patient use” from being reported under the Act. In interpreting and enforcing this provision, the Centers for Medicare and Medicaid Services (CMS) concluded that medical textbooks, reprints of peer-reviewed scientific journal articles and abstracts are not directly beneficial to patients and not intended for patient use, and therefore must be reported under […]
June 30, 2016

ISASS Policy & Advocacy News – June 2016

News and noteworthy information for June 2016: ISASS Convenes Payment Models Subcommittee ISASS Submits Comments to MACRA/Quality Payment Program Proposed Rule ISASS Submits Comments to 2017 Hospital Inpatient Proposed Rule CPT® Summary of Panel Actions Posted from May 2016 Meeting Recap of the AMA House of Delegates Annual Meeting Comprehensive Medicare Coverage of Minimally Invasive Sacroiliac Joint Fusion Surgery GAO Makes MedPAC Appointments   ISASS Convenes Payment Models Subcommittee In order to enhance the Society’s advocacy work, last month, ISASS convened a new subcommittee of the Coding & Reimbursement Task Force. The Payment Models Subcommittee is being spearheaded by Isador Lieberman, MD, Morgan Lorio, MD, Kern Singh, MD, and Cindy Vandenbosch and was formed to: review regulatory changes and submit […]
June 27, 2016

ISASS Submits Comments to CMS on MACRA/Quality Payment Program Proposed Rule

The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) was bipartisan legislation signed into law in April 2015 to permanently repeal the Sustainable Growth Rate (SGR), streamline physician quality reporting programs, and provide incentive payments for physician participation in alternative payment models. MACRA sunsets the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier, and the Medicare Electronic Health Record (EHR) Incentive Program in 2018 and establishes an umbrella Quality Payment Program with two new pathways for payment: 1. Merit-Based Incentive Payment System (MIPS) and 2. Advanced Alternative Payment Models (Advanced APMs). In April 2016, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule to begin the process of implementing MACRA. The proposed rule establishes a […]