The Centers for Medicare & Medicaid Services (CMS) released its proposed 2022 Medicare Physician Fee Schedule (MPFS) earlier this summer. The agency proposed insufficient reimbursement to providers to cover the cost of providing a combination glaucoma and cataract surgical care. Because the insertion of an aqueous drainage device is performed concurrently with cataract and intraocular lens (IOL) surgery, new CPT codes (669x1 and 669x2) were created for 2022 that combine cataract surgery with implantation of a glaucoma stent.
The American Society of Retina Specialists (“ASRS”) is addressing building a case for increased the issue of reimbursement for bevacizumab (Avastin) from First Coast Service Options. and we need your help. If you are interested in participating in the ASRS evaluation , assisting in this effort, please contact forward your invoices from Avastin suppliers and outsourcing facilities (without practice-specific information) to Monica Horton at firstname.lastname@example.org.
Dear Medicare providers,
First Coast Service Options, your Medicare Administrative Contractor (MAC) for the traditional Medicare program, would like to request your opinion of our service by taking the MAC Satisfaction Indicator (MSI) survey. Your feedback goes directly to the Centers for Medicare & Medicaid Services and helps us understand how we can better service you. This survey should only take about 10 minutes of your time. To take the survey, click on the link below:
Academy Advocacy Spurs Significant New Flexibility in Quality Payment Program
First Coast Service Options (First Coast), your Medicare Administrative Contractor for the fee-for-service program in Florida, reached out to you in June, requesting your help in communicating important changes related to enrollment revalidation to your members to prevent potential loss of revenue to their practice or facility. We are contacting you again, asking your assistance in recommunicating this information as a reminder of its importance to the provider community
Provider Enrollment Revalidation Cycle 2
Retina practices may perform multiple tests, depending on the patient’s diagnosis. How to document those tests varies by state. Be sure your documentation meets the specific requirements outlined by your Medicare Administrative Contractor. To help you meet those requirements, the Academy has provided the correct coding guidelines applicable for each state.
Another great benefit of being an FSO member is that the Board is comprised of committees that are chaired by fellow members who are dedicated to making the practice of medicine better. Over the last 10 years, your third party committee has been working hard behind the scenes and have helped draft, edit and establish with First Coast Service Options (FCSO) the following local coverage determinations listed below.
First Coast Service Options, Inc., (First Coast) is the Medicare Administrative Contractor for jurisdiction 9, serving Medicare providers and beneficiaries in Florida, Puerto Rico, and the U.S. Virgin Islands. The Provider Outreach and Education department is working to promote Electronic Remittance Advice (ERA) to those providers still receiving paper remittances through regular mail. We have been performing focused education by reaching out to those providers that we show still receiving paper remittances and offering education and assistance.
American Academy of Ophthalmology (AAO) Members Strongly Urged to Demand Congress Pass a Medicare Physician Pay Fix that Protects Patient Access to Quality Specialized Medical Care.
President Obama has submitted an economic growth plan to the new joint House and Senate committee charged with recommending $1.2 trillion in federal deficit savings. Included in his plan is about $224 billion of savings in the Medicare program, achieved through a combination of cuts and reforms.