Medicare

The Center for Medicare & Medicaid Services (CMS) is a federal agency within the Department of Health and Human Services which manages and oversees the federal health insurance program for beneficiaries 65 years or older. Physicians are required to comply with laws and regulations related to various aspects of their practice within the Medicare program. Below are key areas that address many of the regulatory areas for practitioners and their staff.

Medicare Fee Schedule / Reimbursement

Rheumatology services under Medicare Part B have reimbursement rates established by the Medicare Physician Fee Schedule. View the physician fee schedule which reflects the variation in practice costs based on geographic location, relative value, practice expense, and malpractice.

Medicare Participation

Each year physicians have the option to review and/or modify their contractual relationship within the Medicare program. Learn why it is important for health care providers to understand their options within the program.