Earlier this month, CMS announced that it’s creating a tiered approach that allows physicians and other clinicians more flexibility in reporting data in the first year of Medicare’s new quality payment program, which is set to start Jan. 1, 2017. … Read More
As we expected, the new Medicare Risk Adjustment Factor is bringing increased scrutiny by the Centers for Medicare and Medicaid Services (CMS). News came earlier this month that the hospital provider Humana is facing allegations on this front. The … Read More
What would a New Year be like without a new acronym to learn? MIPS stands for Medicare’s Merit Based Incentive Program System now scheduled to begin in just three years (2019). Before you take another sip of eggnog, you … Read More
There’s been a lot of buzz in the industry around bundled payments since it has potential to transform the current healthcare system through payment reform. So what is payment bundling? Also known as episode-based payment, payment bundling is the reimbursement … Read More
How can we end the year without noting healthcare trends as we head into 2015? The earth might fall off its axis without such observations! Here are my predictions: EHR Systems Love ‘em or hate ‘em (and I know there … Read More
Medical practice management has many challenges. Detecting a patient with a prescription drug addiction is one of the most concerning. The National Institute on Drug Abuse estimates 1.9 million Americans abuse prescription opioids. Even more alarming, overdose deaths attributed to opioids have quadrupled since … Read More
While this post is written mainly from the consumer’s point of view, it shows the need as well as the effort that is underway to prevent Medicare fraud. It requires a joint effort the part of both the patient and … Read More
Anyone who listens to the news and reads the various articles written about recent events in the world of medicine cannot help but be aware of the very intense feelings on each side of the aisle. The quote below was … Read More
A recent federal audit revealed a large amount of inaccurate records in Medicare's two main enrollment systems. Provider Enrollment, and Chain and Ownership System (PECOS) showed an inaccuracy rate of 58 percent, while National Plan and Provider Enumeration System (NPPES) was 48 … Read More
An estimated 30 million new patients will be entering the health care system in the next year. How will practice administrators accommodate the staggering influx of people and logistical changes? The healthcare industry is facing major changes over the next … Read More