Clear Search
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3 Min Read

Supreme Court considers Medicaid payment rate adequacy

The U.S. Supreme Court is weighing in on whether states must comply with the federal Medicaid Act’s “equal access” provision that is intended to make sure physicians and other health care providers receive sufficient payment to provide care to low-income and disabled patients.

Medicare & Medicaid
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3 Min Read

Payment recovery audit program needs overhaul: Doctors to CMS

A “bounty-hunter” Medicare program that takes back payments from physicians must be overhauled, physicians told the Centers for Medicare & Medicaid Services (CMS) in a letter, pointing to a two-year backlog of appeals and prohibitive expenses that result from excessive audits.

Medicare & Medicaid
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2 Min Read

3 things you must know about overpayment recovery

Learn what you need to know about the overpayment recovery process with these three tips and additional assistance from a free online overpayment recovery toolkit from the AMA.

Claims Processing
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3 Min Read

As payment reform advances, we need physicians at forefront

Physicians are accustomed to reviewing and embracing new scientific and medical breakthroughs, but innovations on the payment side can come much more slowly.

Sustainability
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2 Min Read

Momentum grows for Medicare reform, but time almost out

Only days remain until Congress concludes its “lame duck” session. That’s not much time for lawmakers to address a long agenda—but support is building in the nation’s capital to eliminate Medicare’s sustainable growth rate (SGR) formula this year.

Medicare & Medicaid
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2 Min Read

CMS to conduct ICD-10 claims acceptance testing next week

During the first of three special testing weeks, the Centers for Medicare & Medicaid Services (CMS) will be conducting testing to determine whether physicians’ ICD-10 claims will be accepted into the Medicare claims processing system, Nov. 17-21.

Claims Processing
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5 Min Read

10 Medicare payment policy revisions you need to know

Chances are you haven’t been able to read through the nearly 1,200 pages that constitute the 2015 Medicare Physician Fee Schedule final rule released Oct. 31 and published Thursday in the Federal Register. Here are the 10 top payment policy changes discussed in this mammoth document that you need to know about.

Medicare & Medicaid
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3 Min Read

From Ebola to MOC: Top 10 stories from AMA Interim Meeting

Here are the top stories from the 2014 AMA Interim Meeting in Dallas. See full coverage of the meeting at AMA Wire®. They covered Ebols, MOC, expanded access to Medicare and caring for veterans.

Interim Meeting
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2 Min Read

Physicians urge expanded access to Medicaid

The nation’s physicians voted Monday to support Medicaid expansion and encourage lawmakers to identify realistic coverage options for adults currently in the coverage gap, even if states choose not to adopt the Medicaid expansion outlined in the Affordable Care Act.

Medicare & Medicaid