Payors
2024 Medicare Physician Payment Schedule (AMA Analysis)
The Centers for Medicare & Medicaid Services (CMS) recently released the proposed rule for the calendar year (CY) 2024 Medicare Physician Payment Schedule. While the American Medical Association (AMA) staff analyze and develop a summary of the nearly 2,000-page rule, we want to make you aware of a handful of key provisions. First, the 2024…
Read MoreMaryland Private Payors Banned from Cancelling Individual Policies for Nonpayment for 60 Days
On behalf of the Hogan Administration, Maryland Insurance Commissioner Kathleen A. Birrane has used her emergency powers to prevent health insurance companies from cancelling or refusing to renew individual health benefit plan policies for nonpayment of premiums for the next sixty days. Individual health benefit plan policies that were scheduled to terminate because of unpaid…
Read MoreCMS: Physicians May Opt-Out of MIPS for 2020
This week, CMS announced that physicians will have the option to opt-out completely or partially from the 2020 QPP’s MIPS program by completing a hardship exemption application and indicating it is due to the COVID-19 Public Health Emergency (PHE). Individual clinicians and group practices have until December 31, 2020 to complete the hardship application. CMS plans on providing…
Read MoreMaryland Medicaid Enrollment Policy Changes – Effective 10.1.19
Maryland Medicaid will implement important physician enrollment policy changes to comply with federal requirements for Ordering, Referring, and Prescribing (ORP) providers. For full details, please refer to this letter, which details the updated policies. Effective October 1, 2019, the Maryland Department of Health will deny payment for prescriptions from providers who are not actively enrolled…
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