May 13th, 2015
by John Verhovshek, MA, CPC As policy makers and payers push healthcare toward “pay for performance” reimbursement models, coders may feel some anxiety about the future of their chosen profession. Fear not. Significant—and arguably, much needed—changes in how we report and pay for healthcare services are sure to come. And when those changes are fully ...
May 23rd, 2013
By Delly Parham, CPC Financial challenges are the top concern in practices today. One of these challenges lies in the obligations defined through physician contracts. Understanding the payer side of the industry better, so you can think like a payer, and knowing how they make money and set reimbursement rates, may help you to identify ...
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 ...
Dec 15th, 2008
Many physicians battle with how to remain devoted and compassionate to patients when faced with HMO paperwork, long days, and receiving less money for services. Some primary care physicians are opting into early retirement and switching to specialized care due to poor reimbursement, increased regulations, time constraints, and low morale in the primary care setting. ...