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CIPROMS News

In January, the Centers for Medicare & Medicaid Services (CMS) established four new HCPCS modifiers (XE, XP, XS, XU) to define specific subsets of the -59 modifier, a modifier used to define a “Distinct Procedural Service." But for now, CMS recommends not using them. Here's why.
Tuesday night, the U.S. Senate approved legislation that permanently repeals and replaces the flawed Medicare payment formula known as the Sustainable Growth Rate (SGR). The same bill, Medicare Access and CHIP Reauthorization Act (MACRA) (HR 2), passed through the House two weeks ago, and President Obama has indicated he will sign it into law quickly.
Insurance plans serving Medicare beneficiaries through the Centers for Medicare & Medicaid Services’ (CMS) Medicare Advantage (MA) program will receive an increase in payments averaging 1.25 percent for fiscal year 2016, according to a CMS announcement earlier this week.