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1 Min Read

New care model focuses on patients at risk of hospitalization

A new model of care delivery aimed at improving care for patients most at risk of being hospitalized is being assessed by the Center for Medicare and Medicaid Innovation based on its costs and outcomes. Called the Comprehensive Care Physician model, this care delivery system is intended to give at-risk patients access to a physician who will care for them in both the inpatient and outpatient settings.

Payment & Delivery Models
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3 Min Read

Sunshine Act proposal threatens doctors' due process for disputes

A newly proposed dispute resolution process for inaccurate Physician Payments Sunshine Act data would deny physicians their due process rights, the AMA told the Centers for Medicare & Medicaid Services in a comment letter last week that calls for fairness and urges the agency to modify the deadline for publication of physicians’ payment data.

Medicare & Medicaid
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3 Min Read

Don't proceed with eRx and PQRS audits, AMA tells CMS

Following a Centers for Medicare & Medicaid Services announcement of a proposal to conduct audits of physicians and other eligible professionals who received incentive payments under the Medicare Physician Quality Reporting System and ePrescribing programs, the AMA called on the agency to abandon its plans because of numerous implementation problems.

Medicare & Medicaid
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1 Min Read

Model tests comprehensive care physicians and high-risk patients

A new idea being tested at the University of Chicago is targeting high-risk patients with comprehensive care physicians. Physicians are assigned patients identified as being at high risk for hospitalization and follow them through inpatient, outpatient and home care settings

Payment & Delivery Models
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2 Min Read

Multi-hospital systems may now have one integrated medical staff

A multi-hospital system can now have a single integrated medical staff, rather than requiring a separate medical staff at each hospital, under a final rule (AMA login required) issued last week by the Centers for Medicare & Medicaid Services (CMS).

Payment & Delivery Models
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3 Min Read

3 things physicians can do to avoid high virtual credit card fees

If your practice accepts virtual credit card payments from health plans, you may be losing a significant amount of your contractual payments to high interchange fees. Fortunately, there are three steps you can take to make sure you aren’t paying unnecessary charges.

Claims Processing
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2 Min Read

Physicians need cost, outcomes data, not Medicare claims data

It’s been about a month since the Centers for Medicare & Medicaid Services (CMS) released its raw physician Medicare claims data, drawing a great deal of attention from the press and leaving physicians to provide context about the data to patients. 

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Leadership
Leadership Viewpoints
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3 Min Read

Improve EHRs before expanding meaningful use, AMA tells ONC

The Office of the National Coordinator for Health Information Technology issued a proposed rule containing voluntary certification criteria for EHR systems in 2015 to be used by physicians participating in the meaningful use program. The rule was to give vendors flexibility in upgrading their systems and offer a look at the 2017 edition. The AMA submitted comments on the proposed rule.

Medicare & Medicaid
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2 Min Read

Where you need to go for Medicare claims data release assistance

As reporting about the Centers for Medicare & Medicaid Services’ (CMS) recent release of physician Medicare claims data continues to cycle through the media, a new resource page from the AMA offers the essential information you need to know about the data release.

Medicare & Medicaid