Medicare Releases Proposed Payment Rates and Associated Policies for Physicians in 2016
On July 8, 2015, the Centers for Medicare and Medicaid Services (CMS) released its
governing payments for physician services and other associated policies covering the calendar year of 2016. This is the first physician fee schedule proposed rule following
the passage of the Medicare Access and CHIP Reauthorization Act (MACRA), which eliminated the sustainable growth rate formula that had long mandated cuts each year. Please follow the link above to learn more.
Let ASH Know About Difficulties in Obtaining Guaranteed Coverage for Clinical Trials
Guaranteeing access to clinical trials for cancer patients has long been a priority for ASH. Recently, the Departments of Health and Human Services and Labor (which are both responsible for implementing the various provisions of the health reform law)
there would not be federal regulations to implement the clinical trials coverage provision of the health reform law. The agencies determined the statutory language was self-implementing, and indicated that the Departments do not expect to issue regulations in the near future. Please follow the link above to learn more about this issue.
How the CMS Plans for ICD-10 Implementation Will Affect Hematologists
The Centers for Medicare and Medicaid Services (CMS) has announced a new plan that will introduce some leniency in the introduction of the new ICD-10 diagnosis coding system. Most notably, claims will not be rejected if the diagnosis coding is not to the correct level of specificity. To see an example from the field of hematology, please follow the link. ASH staff has prepared a full article giving an example of the diagnosis coding for lymphoid leukemia.
A Report from the AMA House of Delegates
In the first weekend of June in Chicago, representatives from medical specialty societies and state medical societies convened a meeting of the semi-annual American Medical Association (AMA)
House of Delegates. The House of Delegates is composed of more than 500 physician representatives, and they consider resolutions covering a wide gamut of issues, such as health information technology, maintenance of certification, and menu labeling for food allergies. ASH was represented at the meeting this year. Follow the link to read more.