News

  • 05/11/2016 7:33 AM | Rebekah Francis (Administrator)

    For the third time, the Centers for Medicare & Medicaid Services (CMS) released updated Medicare physician claims data on their website, which includes information on 986,000 providers who received $91 billion in Medicare fee-for-service payments in 2014. This “Medicare Provider Utilization and Payment Data: Physician and Other Supplier File” contains specific information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by National Provider Identifier, HCPCS code and place of service. It allows for comparisons by physician, specialty, location, types of medical services and procedures delivered, Medicare payment and submitted charges. While the 2014 data is similar to the 2013 data released last year, CMS made a few modifications, such as adding the Medicare standardized payment amount, which removes geographic differences in payment rates for individual services and makes Medicare payments across geographic areas comparable.

  • 05/10/2016 6:36 AM | Rebekah Francis (Administrator)
    On Monday, MGMA sent a comment letter to the Centers for Medicare & Medicaid Services (CMS), urging the agency not to move forward with its proposed Part B drug payment program. The Association recommended the agency seek physician practice input to create a payment model that would support value-based reimbursement models and improve efficiency and quality in delivering physician-administered drugs, including life-saving treatments. MGMA expressed concern that the proposed payment model would establish a precedent under which the CMS Innovation Center could expand its limited legislative authority to circumvent the usual channels to change physician payment. MGMA also raised issue with the fact that this payment model would conflict with ongoing value-based initiatives under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Learn more about MACRA at MGMA’s MACRA Resource Center.
  • 05/04/2016 5:37 AM | Rebekah Francis (Administrator)

    May 15 is the last day to review and, if necessary, dispute data submitted by drug and device manufacturers detailing payments they made to physicians in 2015 as required under the Open Payments program. Open Payments is a national transparency program aimed at spotlighting financial relationships between physicians, teaching hospitals, and drug and device manufacturers. As previously reported, the review and dispute period opened on April 1, and is the only opportunity physician practices have to review and dispute payments and other transfers of value reported by drug and device manufacturers before the information is published on the Centers for Medicare & Medicaid Services Open Payments website. For more information, including instructions on how to access your practice’s Open Payments data, download MGMA’s comprehensive member resource, The Physician Open Payments Program: What You Need to Know


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