No Surprises Act
The issue has implications for members who bill for any number of services or procedures.
MSOS along with AAOS has advocated for a fair implementation of the No Surprises Act (2020) through the rulemaking process. This Part II Interim Final Rule lays out the process for Independent Dispute Resolution, including the role of the insurer-formulated qualifying payment amount in arbitration. Additionally, the rule determines a process for self-pay and uninsured patients to obtain good faith estimates for the cost of care and a patient-provider dispute resolution process.
(letter attached below)
Centers for Medicare & Medicaid Services
At issue are cuts to the Physician Fee Schedule Conversion Factor due to statutory requirements, several key telehealth and other virtual care-related proposals, and Quality Payment Program’s MIPS Value Pathways.
CMS-1751-P Medicare Program
On behalf of over 34,000 orthopaedic surgeons and residents represented by the American Association of Orthopaedic Surgeons (AAOS) and the orthopaedic specialty societies that agreed to sign on, we are pleased to provide comments on the Medicare Program: CY 2022 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post-payment Medical Review Requirement (CMS-1751-P) published in the Federal Register on July 23, 2021.