BC Advantage - 2015 Issue 6

What you need to know about SGR fix and ICD-10

The long-maligned SGR formula - which would've instituted a 21% cut for 2015 - has been replaced with a series of automatic positive 0.5% adjustments through 2018.That's just the top item in the "Medicare Access and CHIP Reauthorization Act of 2015." After 2018, the automatic positive updates will stop and physician compensation will be adjusted by a new incentive program, called the Merit-Based Incentive Payment System (MIPS). This new program is designed to consolidate the Medicare program's existing pay-for-performance initiatives.One of the biggest initiatives is a new modifier known as the valuebased modifier (VBM), which...

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