Medical groups and health systems that are members of the American Medical Group Association (AMGA) estimate that 60 percent of their Medicare revenues will be risk-based in 2019, pointing to a greater need for risk-assessment coders. Fierce Healthcare reports respondents to the organization’s annual risk survey said they expect revenues from Medicare Advantage to equal ...
In Billing
Nov 10th, 2017
The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. CMS Finalizes 2018 MPFS Payment and Policy Changes was last modified: November 10th, 2017 by Renee Dustman...
Sep 11th, 2015
According to the Centers for Medicare & Medicaid Services (CMS), the improper payment rate for power mobility devices (PMDs) in 2013 was 81.8 percent, which amounts to approximately $329 million in erroneous payments made under Original Medicare. Documentation and medical necessity errors were behind most of these improper payments. CMS recommends that providers and suppliers work ...
Dec 1st, 2012
By Stephen C. Spain, MD, FAAFP, CPC Angela “Annie” Boynton, BS, CPC, CPC-H, CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT Part 2: As health care moves away from fee-for-service, quality care comes to the forefront. Evidence-based medicine (EBM) and the Physician Quality Reporting System (PQRS) have brought the concept of pay for performance (P4P) to health ...
In Billing
Jun 29th, 2012
Medicare Payment Advisory Commission’s (MedPAC) June 2012 “Report to the Congress: Medicare and the Health Care Delivery System” has been released. The six-chapter report evaluates Medicare payment issues and makes recommendations to Congress regarding access to care, quality of care, and other issues affecting Medicare. MedPAC Reports on Health Care Delivery System was last modified: ...