Christopher P. Dean

Christopher P. Dean


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Physician Payment: CMS Seeks Suggestions for SGR, PQRS, Meaningful Use and VBM Replacement

CMS would like your help in developing the replacement to the Sustainable Growth Rate adjustment (SGR). But you need to act quickly because CMS' cutoff date for your suggestions is October 31, 2015....more

10/16/2015 - CHIP CMS Meaningful Use Medicare Medicare Access and CHIP Reauthorization (MACRA) MIPS Notice and Comment Physician Payments PQRS Request For Information Sustainable Growth Rate (SGR) Value-Based Payments

Key Ingredients of CMS' Proposed Comprehensive Care for Joint Replacement Model

On July 14, 2015, CMS released a proposed rule regarding a new, alternative payment model: the Comprehensive Care for Joint Replacement (CCJR) program. Modeled in large part on the Bundled Payments for Care Improvement (BPCI)...more

8/3/2015 - Alternative Payment Models (APM) BPCI Bundled Payments CCJR CMS Hospitals Medicare

MIPS: Moving Physician Payments Beyond the Sustainable Growth Rate?

Medicare continues to transition its primary physician payment methodology from a traditional fee-for-service model into a quality and value-based model. Recently, the Medicare Access and CHIP Reauthorization Act of 2015...more

5/29/2015 - CHIP CMS Medicare Medicare Access and CHIP Reauthorization (MACRA) Merit-Based Point System MIPS Physician SGR Formula Physicians Sustainable Growth Rate (SGR)

CMS Proposes Enhanced Role for Non-Physician Practitioners in Rural Health Clinics

Recognizing the difficulty many rural health clinics (RHCs) face when recruiting health care practitioners, CMS recently proposed to change its interpretation of the Rural Health Clinic Services Act and allow RHCs to contract...more

11/7/2013 - CMS Healthcare Independent Contractors Medicare Rural Health Care Providers

CMS Proposes FQHC Prospective Payment System

On September 23, 2013, CMS published a proposed rule to overhaul the payment methodology for federally qualified health centers (FQHCs). The proposed rule will change FQHC reimbursement from an all inclusive rate (AIR),...more

10/18/2013 - Affordable Care Act CMS FQHC Healthcare Payment Plans

CMS Expands MSP Recovery Portal

Earlier in 2013 the President signed into law the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the “Smart Act”) requiring CMS to establish a web portal for beneficiaries, their attorneys, and authorized...more

10/4/2013 - CMS Medicare Medicare Secondary Payer Act

Complex Chronic Care Management Reimbursement for 2015 Included in Proposed 2014 Physician Fee Schedule

The proposed 2014 Medicare Physician Fee Schedule [PDF] included reimbursement for case management to be made available in 2015 for physicians who treat patients with two or more complex conditions. The proposed rule would...more

7/25/2013 - CMS Electronic Medical Records Healthcare Home Health Care Medicare Physician Medicare Reimbursements Physician Payments Physicians

Physician Payment Sunshine Rule is Finalized

The Final Rule implementing the Physician Payment Sunshine Act was announced on February 1st and published in the Federal Register on February 8th. The Final Rule establishes procedures for drug and device manufacturers to...more

2/15/2013 - Applicable Manufacturers Biologics CMS Common Ownership Continuing Medical Education Covered Products Covered Recipients Dispute Resolution GPOs Medical Devices Medical Research Medical Supplies Payment Records Pharmaceutical Industry Physician Payments Physicians Sunshine Act Teaching Hospitals Transfers of Value

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