CMS Releases Draft MIPS THA/TKA Complication Measure

The Centers for Medicare & Medicaid Services (CMS), through Yale New Haven Health Services Corporation/Center for Outcomes Research & Evaluation (CORE), has developed claims-based hospital measures to assess the quality of care provided to Medicare...

AAHKS and AAOS Meet with CMS

Leaders from AAHKS and AAOS engaged with representatives of the Centers for Medicare and Medicaid Services (CMS) this week to address the designation of hip and knee arthroplasty codes as “potentially misvalued” in the 2019 Medicare Physician Fee Schedule Final Rule,...

AAHKS Comments on CMS Proposal to Revalue THA and TKA Codes

CMS recently released the 2019 Medicare Physician Fee Schedule Final Rule and identified seven high volume current procedural terminology (CPT) codes as potentially misvalued, among which were 27130 (total hip arthroplasty) and 27447 (total knee arthroplasty). CMS...

Seema Verma to Open Physician Fee Schedule Call

The Centers for Medicare & Medicaid Services (CMS) will host a call on Monday, November 19 from 2:00 -3:30 p.m. (Eastern) to discuss key topics of the CY 2019 Physician Fee Schedule final rule. CMS Administrator, Seema Verma, will provide opening remarks on the...

HHS Report Finds Medicare Advantage Patients Disadvantaged

The New York Times reported this week that Medicare Advantage plans “have been improperly denying many medical claims to patients and physicians alike.” A report by the US Department of Health and Human Services claims the denials are an attempt to increase profits....
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