CMS Highlights Success of MACRA Year 1: High on Praise, but Short on Details

Whitfield L. Knapple, MD, FACGChair, Legislative and Public Policy Council On Thursday, May 31, CMS Administrator Seema Verma wrote on the CMS blog that she was “pleased to announce that 91 percent of all clinicians eligible for the Merit-based ...

2 Important CMS Updates for GI Practices: Biosimilar Changes and Medicare Appeals Guidance

Medicare Part B Biosimilar Payment and Required New Codes: Dates of Service on or after April 1, 2018 Pursuant to a recent CMS update, the “Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – April ...

Important Date for ACG Members: CMS Extends the MIPS 2017 Data Submission Deadline

Whitfield L. Knapple, MD, FACGChair, Legislative and Public Policy Council If you’re an eligible clinician participating in the “Quality Payment Program,” you now have until Tuesday, April 3, 2018 at 8 PM (EDT) to submit your 2017 MIPS ...

MIPS for all practice sizes: ACG advocating on behalf small and large GI practices

Whitfield L. Knapple, MD, FACGChair, Legislative and Public Policy Council MIPS and Larger Group Practices: Are larger groups unfairly treated in MIPS Quality Category?  What is ACG doing for you? MACRA provides that the Centers for Medicare ...

CMS Actuary Office releases projections on U.S. healthcare spending

Whitfield L. Knapple, MD, FACGChair, Legislative and Public Policy Council On Wednesday, the CMS Actuary Office stated that U.S. health care spending is projected to grow from 4% in 2016 to 5% this year, and 5.7 % by 2021; on track to spend ...

CMS Announces New Medicare Episode Payment Bundle- Here’s what you need to know

Whitfield L. Knapple, MD, FACGChair, Legislative and Public Policy Council This week, the Centers for Medicare & Medicaid Services (CMS) announced a new voluntary episode payment model, the “Bundled Payments for Care Improvement Advanced” ...