0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Understanding Responses to Reductions in CMS Payments

Gail R. Wilensky, PhD1
[+] Author Affiliations
1Project HOPE, Bethesda, Maryland
JAMA Intern Med. 2016;176(5):699-700. doi:10.1001/jamainternmed.2016.0216.
Text Size: A A A
Published online

Extract

In this issue of JAMA Internal Medicine, Callaghan et al1 report their analysis of service use and payments following a substantial reduction in the payment by the Centers for Medicare & Medicaid Services (CMS) to physicians through Medicare as reimbursement for nerve conduction studies (NCS) as of January 2013. Payment for electromyography, which is typically performed together with NCS, was not changed. The CMS changed the payment as a result of a directive that was part of the 2010 Affordable Care Act to reduce amounts paid by Medicare for “overvalued” services. Electromyography was identified as a service that had exhibited rapid volume growth as the result of having been submitted multiple times in the same practice or for the same reason for reimbursement, or having been submitted in conjunction with other codes, which was the case for NCS. The payment change was also consistent with (but greater than) a recommendation from the Relative Value Scale Update Committee, which brings together the American Medical Association and medical specialty societies to offer recommendations to the CMS for physician service reimbursement.2

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

326 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();