decisionhealth Newsletters, Part B News - 2012 Issue 8 (August)
Part B News briefs: New EFT agreement, value-based payment modifier and power mobility device demo
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Article Overview
This article summarizes three Medicare Part B news items relevant to physician practices, billing staff, compliance teams, and durable medical equipment stakeholders. It covers a transition-related EFT authorization update tied to Medicare contractor changes, CMS discussion of a value-based payment modifier in the physician fee schedule, and the launch of a prior authorization demonstration for power mobility devices in selected states. The piece is useful for organizations tracking Medicare administrative changes, reporting-related policy updates, and DME compliance developments.
Why This Topic Matters
The items affect payment processing, physician reimbursement policy, and pre-service requirements for certain equipment claims. Practices and suppliers may need to monitor CMS timelines, contractor communications, and demonstration requirements to avoid disruptions and stay current with Medicare policy changes.
Article Sections
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EFT transition to Novitas Solutions
Covers a Medicare contractor transition affecting electronic funds transfer arrangements and related provider communications. Includes timing details and the general administrative context for affected Part B practices.
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Value-based payment modifier
Summarizes CMS discussion of an Affordable Care Act payment policy tied to quality and cost performance. Describes the broad scope of the proposed modifier, the provider groups referenced, and the reporting framework discussed by CMS.
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Power mobility device prior authorization demonstration
Reviews the announced start of a multi-year CMS demonstration involving prior authorization for certain durable medical equipment. Notes the affected device category, the Medicare contractor role, and the participating states.
What You Will Learn
- How a Medicare contractor transition can affect provider EFT arrangements
- What CMS said about the planned value-based payment modifier and its rollout framework
- What the power mobility device prior authorization demonstration involves and where it applies
- Which Medicare stakeholders are touched by the administrative and compliance changes described in the article
Who Should Read This
- Physicians and medical practices
- Billing and reimbursement staff
- Compliance and revenue cycle teams
- Durable medical equipment suppliers
- Medicare policy analysts
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