AANEM Practice News Express

AANEM News Express

​ABEM Certification Now Approved for Advertising in Florida

    1/23/2018
On January 3, 2018, the Florida Medical Board’s Rules/Legislative Committee published intended final approval for physicians in Florida to advertise their certification by the American Board of Electrodiagnostic Medicine (ABEM). The ABEM requested this rule change in late fall of 2017, with the final approval going into effect in early 2018. 

2018 Coding Guide Now Available

    1/12/2018
Purchase the
AANEM 2018 Online Coding Guide today – the most comprehensive source for electrodiagnostic (EDX) and neuromuscular (NM) coding. Your purchase will provide you with access to the Online Coding Guide website through the end of 2018. Simply log into the AANEM website and use the link provided to gain access to this valuable tool.

2018 Physician Fee Schedule Final Rule: What Does it Mean for Reimbursement?

    12/4/2017
On November 2, 2017, the Centers for Medicare and Medicaid Services (CMS) issued the
final rule updating payment policies and payment rates for physicians under the Medicare Physician Fee Schedule (MPFS) for 2018. Within this document and addendum are updates to the relative value units (RVU), which include work RVUs, practice expense (PE) RVUs, malpractice (MP) RVUs, as well as the Medicare conversion factor.
This article summarizes some of the changes affecting reimbursement for AANEM members for the calendar year (CY) 2018.

CMS Releases Final Rule: 2018 Medicare Physician Fee Schedule

    11/21/2017
On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a
final rule updating payment policies and payment rates for physicians under the Medicare Physician Fee Schedule (MPFS) for 2018. CMS estimates a 0% impact in payment for neurology and physical medicine and rehabilitation physicians. 

CMS Releases Proposed Rule: 2018 Medicare Physician Fee Schedule

    7/26/2017
On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a 
proposed rule updating payment policies and payment rates for physicians under the Medicare Physician Fee Schedule (MPFS) for 2018.  CMS estimates a 0% impact in payment for neurology and +1% for physical medicine and rehabilitation physicians; although, ultimately, the result could differ when the final rule is published in the fall.

MACRA: CMS Releases Proposed Rule for Year 2 of the Quality Payment Program

    7/5/2017
On Tuesday, June 20, the Centers for Medicare and Medicaid Services (CMS) issued its
proposed rule for Year 2 of the Quality Payment Program (QPP), established under MACRA. Several of AANEM’s suggestions were adopted in the proposed rule. Of key importance is that CMS is, essentially, providing for another transition year. Under this rule, it is estimated that 94% or more of eligible clinicians would earn a positive or neutral payment adjustment. For information about the rule in effect for the current year, visit AANEM’s MACRA webpage: https://www.aanem.org/Practice/Medicare/MACRA
 
Based on a cursory review of the rule, it appears that CMS listened to extensive feedback provided by various medical associations and groups, including the AANEM, and made several changes to the QPP based on physician input. 

AANEM Meets with CMS to Discuss Ensuring Quality in EDX Medicine

    7/5/2017
On Monday, June 26, representatives of the AANEM met with leaders of CMS to discuss problems and potential solutions related to quality EDX care. Drs. Peter Grant and Vince Tranchitella described some of the current fraud and abuse trends in EDX medicine and suggested potential solutions including adopting AANEM’s EDX Laboratory Accreditation Program as prerequisite for billing Medicare patients.  This is similar to what was done in sleep medicine with their sleep labs. Other options discussed included adopting specific requirements in the Accreditation Program.
 
CMS officials acknowledged that they are aware of the issues and shared a memo that was sent to all Medicare Administrative Contractors (MACs) back in December 2016. The memo urged MACs to keep an eye out for:
 
  • Physicians with an unusually high average number of EDX test claims for the same beneficiary on the same day; and Physicians with an unusually high percentage of EDX test claims without both an NCS and a needle EMG. 

Recap: 2017 AMA House of Delegates Annual Meeting

    6/27/2017
The American Medical Association (AMA) House of Delegates (HOD) met in Chicago, IL on June 10-14, 2017 for its annual meeting. Important issues reviewed by the HOD included: effectively addressing the current opioid crisis while seeking strategies and education to help those living with chronic pain, collaborating with the VA to ensure veterans have access to quality care and calling for new funding for the Veterans Choice Program, and defending access to quality care for refugees and detained immigrants.
 
AANEM was represented at the meeting by Bill Pease, MD, delegate, and Enrica Arnaudo, alternate delegate.

Registration Period for MIPS Group Reporting Ends on June 30

    6/14/2017
Q. Should I report as a group or as an individual? A. If you work in group practice, you have the choice to report as an individual or as a group. However, if you decide to report as a group, ALL eligible clinicians must report under the group’s tax identification number (TIN) – no one is allowed to report individually. Similarly, if your group elects to report together, even if you would be exempt under the low-volume threshold on the individual level, you MUST participate with the group. Under the group reporting option, all eligible clinicians will report on the same measures in each of the four categories.

Take This 1 Step to Avoid a 4% Medicare Cut

    5/31/2017
Q. Can I participate in MIPS without an EHR? A. Yes. In an effort to encourage eligible clinicians to participate in MIPS in 2017 (and avoid the 4% penalty), CMS has deemed 2017 a “transition year” and is allowing clinicians to participate by reporting as little as ONE quality measure on ONE patient. There are several quality measures that may be of relevance to AANEM members that do not require an EHR.


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