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 ...

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” ...

Tax reform and the impact on ACG members and GI practices: what you should know

Whitfield L. Knapple, MD, FACGChair, Legislative and Public Policy Council This week, Republican leaders in the U.S. House and Senate pushed through major reforms in the U.S. tax code.  The votes in both the House and Senate were along party ...

Tri-Society Alert: 2018 Medicare Payment Rules Released

CMS has released two calendar year (CY) 2018 rules that finalize policy and payment changes for the Medicare Physician Fee Schedule (PFS) and the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Centers (ASC) Payment ...