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4 Min Read

Physicians call for changes to Medicare payment policy proposals

New proposed rules from the Centers for Medicare & Medicaid Services (CMS) would impact many aspects of physician payment and federal regulatory programs, but many of these changes are not for the better. In a letter sent last week, the AMA urged the agency to make revisions to avoid negative effects on physicians and patients.

Medicare & Medicaid
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2 Min Read

How physicians are rethinking care delivery

The way care is delivered can have drastic effects on patients’ health, even in the treatment of the same illness. One physician shares her experience in the differences between fee-for-service and value-based care, and how these differences have directly affected her patients’ health outcomes.

Payment & Delivery Models
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2 Min Read

Bill seeks to sustain higher Medicaid payments

The Ensuring Access to Primary Care for Women and Children Act would continue the current requirement that Medicaid pay at rates no lower than Medicare for services provided by family physicians, general internists and pediatricians, as well for as ob-gyns who provide a significant volume of certain primary care services.

Medicare & Medicaid
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3 Min Read

Medicare quality reports to compare doctors, impact payments

Physicians should look for their confidential Medicare feedback reports next month. They will detail how the cost and quality of care physicians provided to their Medicare patients last year compares to that of other physicians.

Payment & Delivery Models
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1 Min Read

Insurers not paying correctly? Free tool helps address denials

The Claims Workflow Assistant, developed by the AMA, can help your practice understand digital explanations of payment known as electronic remittance advice (ERA) transactions and address any issues with how the insurer handled your claims.

Claims Processing
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2 Min Read

It's official: ICD-10 compliance date now Oct. 1, 2015

Physicians officially have until Oct. 1, 2015, to transition to the ICD-10 code set, according to a final rule issued Thursday by the U.S. Department of Health and Human Services (HHS).

Claims Processing
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2 Min Read

Medicare trustees assume no future SGR payment cuts: Report

In their annual report about the financial future of the program released Monday, the Medicare trustees announced that they will no longer base their budget assumptions on current law calling for physician payment cuts resulting from the sustainable growth rate (SGR) formula, demonstrating a general agreement that it’s time to get rid of the broken formula once and for all.

Medicare & Medicaid
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3 Min Read

Who's leading ACOs: physicians or hospitals?

The first national survey of accountable care organizations (ACO) examines who is playing the strongest leadership and ownership roles in the development of these new models of care.

Payment & Delivery Models
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4 Min Read

8 things you should know about Medicare's proposed payment rule

If the policies set forth in the 2015 Medicare Physician Fee Schedule proposed rule take effect, physicians will be in for a lot of changes—many of them unfavorable—next year. Here are the top eight things that you should know.

Medicare & Medicaid