Medicare SGR payment cut looms as January 1 deadline approaches
Medicare FFS Physician Feedback Program/Value-Based Payment Modifier details the overall mechanism for measuring and regulating quality of care.The Value-based Payment Modifiers will depend upon a new and untested ICD 10 code with highly detailed specifics to link to CPT billing codes. The chances for errors and denied reimbursement are magnified exponentially.
The overall regulations include:
Section 3007 of the Affordable Care Act mandated that, by 2015, CMS begin applying a value modifier under the Medicare Physician Fee Schedule (MPFS). Both cost and quality data are to be included in calculating payments for physicians.
Fact ! Expect the Unexpected:
New insurance fee in health overhaul law likely to hit consumers
Read more: http://www.foxnews.com/politics/2012/12/10/new-insurance-fee-in-health-overhaul-law-likely-to-hit-consumers/#ixzz2EigSIleO