The ACR has compiled guidelines and tips on how to use the JW modifier and correctly bill Medicare for discarded drugs and biologicals. This modifier can be applied only to unused amounts from a single-dose vial or package.
Articles by From the College
CMS Announces Timeline for Drug Negotiations
This month, the CMS will begin steps to develop a drug pricing negotiation process as allowed by the Inflation Reduction Act. The ACR plans to participate in public comment opportunities.
The ACR Announces New Community Practice Council; Applications Now Open
The new council, comprising professionals from small or independent rheumatology practices, will work with the ACR and its committees on issues that confront members in small practices.
2023 Medicare Physician Fee Schedule Final Rule for Quality Payment Program Published
The ACR highlights essential policy and reporting changes to the Quality Payment Program for performance year 2023 and beyond. Key changes include policies regarding the development of new MIPS Value Pathways and refinement of subgroup participation.
Public Health Emergency Extended
Later this month, the Department of Health & Human Services (HHS) is expected to extend the public health emergency (PHE) for another 90 days. The PHE extension will allow for the continuation of many flexibilities instituted in 2020, including the expansion of such telehealth provisions as audio-only telehealth.
The ACR Thanks 2022 RheumPAC Matching Campaign Donors
The ACR is grateful to all members who donated to RheumPAC during this year’s matching campaign, which raised over $27,000 from members and another $13,000 from volunteer leaders who made a pledge for each donor.
ACR Scores Wins for Rheumatology Community at AMA House of Delegates Interim Meeting
Key successes for the rheumatology community secured by the ACR’s delegation include passage of the ACR’s resolution addressing pharmacy benefit administrators, advances in policies to protect rheumatologists and patients in the post-Dobbs landscape and retention of the rheumatology’s representation in the AMA House of Delegates.
ACR Provides Preliminary Analysis of CY23 Medicare Physician Fee Schedule Final Rule
On Nov. 1, the CMS finalized the Medicare Physician Fee Schedule for 2023. The rule finalizes many policies, significantly: a 4.5% decrease in the conversion factor, a delay in split/shared implementation, continued refinement of evaluation and management coding and documentation, and telehealth flexibilities that will remain in place through 2023. Thanks to ACR advocacy, the CMS reinstated five-minute pre- and post-service times for musculoskeletal ultrasound codes.
ACR Leads AMA Resolution to Address Disruptive Practices of Pharmacy Benefit Administrators
At the AMA House of Delegates meeting in November, the ACR’s delegation will lead over a dozen cosponsoring specialties and medical associations in advancing a resolution addressing serious concerns about third-party pharmacy benefit administrators and the impacts of their disruptive practices.
November, a Busy Month for RheumPAC
In November, RheumPAC will be leading its annual matching campaign and hosting two events at ACR Convergence 2022. Thanks to matching donors, every contribution in November will be amplified.
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