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Iowa Healthcare Law Blog News & Updates on Legal, Policy, & Business Issues Facing the Health Care Industry in Iowa

Monthly Archives: November 2015

Medicare “Incident To” Billing – CY 2016 Clarifications

Posted in Centers for Medicare and Medicaid Services-CMS

The billing physician must be the supervising physician. The final CY (calendar year) 2016 Medicare physician payment rule is out and published in the November 16, 2015 Federal Register. In that rule, CMS (Centers for Medicare & Medicaid Services) made two changes clarifying Medicare’s Part B “incident to” billing rule found at 42 CFR 410.26…. Continue Reading

CMS REQUIRES MEDICAID PROGRAMS ACCESS MONITORING PLANS BY JULY 1, 2016

Posted in Centers for Medicare and Medicaid Services-CMS, Medicaid

State plans must consider impact of provider rates on beneficiary access US Supreme Court says providers cannot challenge Medicaid payment rates in a court of law Physicians under Iowa’s Medicaid program consistently provide quality medical care to our State’s 560,000 Medicaid beneficiaries despite payment rates that, according to the Iowa Medical Society, are nearly the… Continue Reading