The Physician’s Advocacy Institute (PAI), of which North Carolina Medical Society (NCMS) CEO Robert W. Seligson is president, sent 24 recommendations to the United States House Ways and Means Committee in response to its Medicare Red Tape Relief Project. The recommendations offer ways to alleviate regulatory burdens faced by physician practices and cover many but not all of the regulatory challenges physicians face. Read each of the recommendations below.
Quality Payment Program (QPP) recommendations:
- Predictability for Physician Payment
- Implementation Timeline
- Virtual Group Implementation
- Data and Audit Transparency
- MIPS Scoring Methodology
RAC reform recommendations:
- Reform RAC Payment System
- RAC Program Extrapolation
- Separate Appeals Process in RAC Program
- Timing of RAC Payment During Appeals
- Establish Right to Appeal RAC Decision to Use Extrapolation
Red Tape Relief:
- ACO Issues
- Need for Strengthened Network Adequacy Oversight
- EHR Interoperability Issues
- Medicare Prior Authorization for Covered Services
- Remove Barriers to Physician Owned Hospitals
- Allow Private Contracting
- MA PSODs for Non-Covered Services
- Lack of EHR Vendor Accountability
- Physician Database Check
- Uncompensated Translation Services
- Mandatory Participation in CMMI Demonstrations
- Annual Wellness Visits
- Telehealth Coverage
- Physician Office Staff Personal Information on Enrollment Forms