What's New

• Attention Health Professionals:  Information Regarding the Holding of 2012 Date-of-Service Claims for Services Paid Under the 2012 Medicare Physician Fee Schedule
  The negative update under current law for the 2012 Medicare Physician Fee Schedule is scheduled to take effect on Sun Jan 1, 2012, eight business days from today.  Consequently, as on numerous occasions in the past, CMS will instruct its Medicare claims administration contractors to hold claims containing 2012 services paid under the Medicare Physician Fee Schedule for the first 10 business days of January 2012 (i.e., Sun Jan 1 through Tue Jan 17).  The hold should have minimal impact on provider cash flow because, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt.
  Medicare Physician Fee Schedule claims for services rendered on or before Sat Dec 31 are unaffected by the 2012 claims hold and will be processed and paid under normal procedures and time frames.
  The Administration is disappointed that Congress has failed to pass a solution to eliminate the sustainable growth rate (SGR) formula-driven cuts, and has put payments for health care for Medicare beneficiaries at risk.  We continue to urge Congress to take action to ensure these cuts do not take effect.
  CMS will notify you on or before Wed Jan 11, 2012, with more information about the status of Congressional action to avert the negative update and next steps regarding the claims hold.
• 2012 Membership Dues: Invoices were emailed (please check your inbox) to all members Thursday, December 1^st. You can pay your dues online or mail a check the AAHKS office. Contact Krista Stewart Krista@aahks.org with any questions.
• CMS Releases MLN Matters Special Edition Article for providers and suppliers regarding a predictive analytics system CMS is using as of June 30, 2011 to analyze all Medicare FFS claims to detect potentially fraudulent activity. The predictive analytics system uses algorithms and models to examine Medicare claims in real time to flag suspicious billing. This article briefly explains the predictive modeling system, its purpose, and how CMS is incorporating the system into its claims payment process.
• AAHKS Washington Report
• TAKE ACTION NOW: Tell Congress to repeal Medicare's flawed SGR formula!
• Patient Centered Outcomes Research Institute Announces $26 Million
• Fellowship Match: The American Association of Hip and Knee Surgeons, the Hip Society, the Knee Society and the Musculoskeletal Tumor Society have joined to form a Fellowship Match for Adult Reconstruction and Tumor Fellowships. More information about the match. If you have additional questions, please contact the AAHKS Executive Director, Robert A. Hall, CAE at 847-384-4373 or at bob@aahks.org.
• Participating Fellowship Programs
• Knee Replacements Are Determined to Be Cost-Effective
• AAHKS Documentary on Hip and Knee Replacement Surgery is Available.
  

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