Government Advocacy

The Hill doesn’t have to be a climb if you can go straight to the facts.

Engage with a team that advocates on your behalf and translates complex regulations into focused updates on the latest health issues from Washington.

Most Asked Member Questions

Medicare Reimbursement and Value-Based Care Programs

  Question: What are the most significant policy updates in the 2020 Physician Fee Schedule final rule?
 
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  Question: When will CMS notify physician practices of their alternative payment model (APM) status?
 
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  Question: Where can MIPS participants find their final 2018 scoring data?
 
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  Question: What is the status with CMS' new alternative payment models?
 
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  Question: Our practice currently participates in CPC+ and a MSSP Track 1 ACO. Can we apply for Primary Care First and/or Direct Contracting models? Are there participation limits?
 
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  Question: Is the Next Generation ACO program ending this year?
 
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  Question: What is the Direct Contracting model, and by when must I apply if my practice is interested in participating?
 
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  Question: Where can I learn more information about the MIPS cost category, such as how patient costs are attributed to clinicians and what measures may apply to our practice?
 
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  Question: Where can I find 2020 Medicare payment files, such as relative values?
 
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Federal Compliance

  Question: What is the current status of the Stark Law for medical group practices?
 
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  Question: Is the coinsurance for Chronic Care Management (CCM) going away?
 
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  Question: When must we start submitting claims with the new Medicare Benefiary Identifiers?
 
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Health Information Technology

  Question: Are there requirements for practices using app technology?
 
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  Question: How can my practice get payers to send reimbursements using electronic funds transfer (EFT) instead of virtual credit cards? 
 
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  Question: What does my practice need to know to get ready for the new CMS Appripriate Use Criteria (AUC) program?
 
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  Question: Are practices required to comply with the AUC program this year when ordering advanced diagnostic imaging tests for Medicare beneficiaries?
 
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Digital Medicine

  Question: What new flexibilities will Medicare Advantage plans have with telehealth in 2020?
 
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  Question: What are the new Medicare communications-based technology codes?
 
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