• Got an idea to reduce physician burden? CMS wants to hear it

    Sometimes, reducing the cost or headaches associated with getting reimbursed for care can be like getting a pay raise. The Centers for Medicare & Medicaid Services (CMS) is offering physicians an opportunity to make that happen with a new request for information (RFI) associated with the agency’s “Patients Over Paperwork" initiative.

    The RFI asks physicians and other health care workers, along with patients and their families, to recommend changes to current rules, policies, and procedures that they believe would allow clinicians to spend more time and resources on better patient care and reduce administrative paperwork. In particular, CMS is looking for suggestions to improve:

    •    Reporting and documentation requirements
    •    Coding and documentation requirements for Medicare or Medicaid payment
    •    Prior authorization procedures
    •    Policies and requirements for rural providers, clinicians, and beneficiaries
    •    Policies and requirements for beneficiaries dually enrolled in both Medicare and Medicaid
    •    Beneficiary enrollment and eligibility determination
    •    CMS processes for issuing regulations and policies

    More information about the RFI is available from CMS. Comments must be submitted by Aug. 12.

    – Kent Moore, Senior Strategist for Physician Payment at the American Academy of Family Physicians

    Posted on Jun 13, 2019 by Kent Moore

    Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.