Guest guest Posted July 1, 2010 Report Share Posted July 1, 2010 Here is the latest AAFP News Now put out by the AAFP. This one is chalk full of information about medicare and what is going on with payments. For a wonderful example of one of the many problems with the current payment system, I encourage you to read the HHS OIG Issues Statement. Could there be a better example of pure nonsense than higher ups in the government sending a memo to docs that they won’t sue us under the anti-kickback regulation if we decide not to go after patients to collect the extra 2.2% of their co-pay if the claim had already been processed. Let’s see, that means for a $100/visit reimbursement, the patient’s portion was $20. With a 2.2% increase, the overall amount would be $102.20. The patient’s part would go up to $20.44. Therefore the difference is 44 cents. Good to know that the government will not sue me if I decide not to shake down grandma for the extra 44 cents that she actually owes me. I will sleep better tonight. From: AAFP News Now Sent: Thursday, July 01, 2010 2:30 AM To: drbrady@... Subject: AAFP News Now, June 30, 2010 AAFP News Now Encouraging Healthy Lifestyles: A Special Report on Overweight and Obesity FPs Play Key Role in Preventing, Treating Obesity Federal Initiatives Aim to Halt Obesity Epidemic More Government & Medicine Senate Delay Could Result in Medicaid Cuts to Physicians CMS Extends Medicare Participation Deadline More Practice Management HHS OIG Says Physicians Can Waive Medicare Coinsurance July 6 Is Deadline to Enroll in PECOS More Clinical Care & Research ACIP Ponders Changing Its Recommendation Process One-third of FPs Did Not Follow Interim Hib Vaccine Recs More Health of the Public FDA to Report on Safety Monitoring Activities AAFP Recruiting Practices for Smoking Cessation Pilot More Resident & Student Focus Carnegie Report Calls for Key Innovations in Medical Education Medical Schools Vary in Fulfilling 'Social Mission' More CME & Lifelong Learning AAFP Offers Free CME Webinars on Nutrition AAFP to Test New 'Translation to Practice' CME More News in Brief News Briefs: Week of June 28-July 2 News Briefs: Week of June 21-25 More As We See It: Voices From the AAFP Editorial: Health Care Reform Coverage Statistics Are Impressive Editorial: AFP Reaches 60 Years and Counting More Professional Issues AMA Delegates Back New Medicare Payment Option AMA Delegates Adopt Measures to Promote Primary Care, Rural Practice More Inside AAFP People in the News -- June FP Elected to AMA Board of Trustees More In Memoriam In Memoriam Archives Owens Sr., M.D. About AAFP News Now What is it? Who produces AAFP News Now? More AAFP News Now Archives Search AAFP News Now April 2010 More June 30, 2010 AAFP News Now is reorganizing, and we need your input to get it right. Please help us meet your expectations by participating in a sorting exercise that will show us how YOU would organize ANN's online content. It's fast and fun! The following news and feature stories -- and more -- are available at http://www.aafp.org/news-now . Top News: Congress Approves Medicare Payment Patch, Provides 2.2 Percent Update CMS Issues New Guidance to Medicare Contractors (06/25/2010) -- Congress has passed and President Obama has signed a physician payment measure that will rescind a 21.3 percent reduction in the Medicare payment rate and provide a 2.2 percent increase in Medicare payments until Nov. 30. The Senate passed the payment measure as part of a stand-alone bill on June 18, and the House followed suit on June 24, approving a measure that rescinds the reduction in the Medicare payment rate. More CMS Will Allow Nonparticipating Physicians to Start Participating in Medicare July 16 Is Last Day to Change Status (06/28/2010) -- Physicians who are not currently participating in Medicare have an opportunity to take part in the program and to change their status from nonparticipating to participating, according to CMS. The offer, which only applies to physicians whose current status is nonparticipating, is available through July 16. More HHS Office of Inspector General Issues Statement Physicians Can Waive Medicare Coinsurance Relative to 2.2 Percent Pay Increase (06/30/2010) -- The federal government has waived a Medicare regulation that would require physicians and other Medicare providers to bill patients for additional coinsurance, also known as cost-sharing amounts, relative to the recently passed 2.2 percent Medicare physician payment increase. More Senate Delay Could Result in Medicaid Cuts to Physicians (06/29/2010) -- The U.S. Senate is delaying efforts to pass a bill to provide $16 billion in Medicaid assistance to states for the first six months of 2011, a move that could result in Medicaid cutting payments to physicians. The funding in the bill is designed to assist states with projected increases in their Medicaid populations that are likely because of a faltering economy and federal coverage requirements in the recently enacted health care reform legislation. More CMS Sets July 6 Deadline for Medicare Participating Physicians to Enroll in PECOS Docs Who Delay Could be Dropped (06/24/2010) -- CMS is sending Medicare participating physicians a not-so-gentle reminder: If you haven't enrolled in the program's Provider Enrollment, Chain and Ownership System, or PECOS, you have until July 6 to do so. If you want to continue to order or refer items or services for Medicare beneficiaries, that is. More ACIP Ponders Changing Its Recommendation Process AAFP Voices Support for Evidence-based, Graded System (06/30/2010) -- The CDC's Advisory Committee on Immunization Practices, or ACIP, is considering adopting an evidence-based recommendation process similar to that used by the U.S. Preventive Services Task Force, or USPSTF. The AAFP, the American Academy of Pediatrics and the American College of Physicians voiced support for such a change June 23 during the ACIP's meeting in Atlanta. More More News: Carnegie Report Calls for Key Innovations in Medical Education Better Integration of Formal Knowledge, Clinical Experience Needed FDA to Report on Safety Monitoring of Recently Approved Drugs, Biologics Patients, Docs Could Benefit From Release of Postmarketing Surveillance Info U.S. Medical Schools Vary Widely in Satisfying Medical Education's 'Social Mission' Morehouse, Meharry, Score as Top Three People in the News -- June News in Brief: News Briefs: Week of June 28-July 2 (06/30/2010) -- This roundup includes the following news briefs: There's Still Time to Earn PQRI Dollars in 2010; FDA Committees to Discuss Safety of Avandia; H1N1 Public Health Emergency Expires; Adult Obesity Rates Continue to Climb; P & G Recalls Nasal Spray; Recalled Children's Meds Won't Return in 2010; FDA Attempting to Reduce Antibiotic Use in Food-producing Animals; and Colorado Enacts Transparency Law for Physicians. More About the Monthly News Recap: The June 2010 AAFP News Now PDF (16-page PDF; About PDFs ) is available for downloading. Archived PDF issues also are available. About This Weekly E-Mail: AAFP News Now is the official news publication of the American Academy of Family Physicians , delivered by e-mail and available online. You are receiving this weekly e-mail as a benefit of membership, not because you are subscribed to an electronic list. If you don't wish to receive this weekly e-mail, visit this link . If you are unable to access a given URL by clicking on it within the body of this e-mail, please copy/paste the URL into a Web browser window. Comments or ideas for news items: ann@... .. Questions about your AAFP membership? Contact memberinfo@... .. Copyright © 2010 American Academy of Family Physicians. All rights reserved. AAFP chapters may reprint information presented in AAFP News Now .. Please use the following source: AAFP News Now , June 30, 2010, © American Academy of Family Physicians. All other uses require prior written consent from the AAFP. Please contact copyrights@... . Quote Link to comment Share on other sites More sharing options...
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