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 ...
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 ...
Nov 1st, 2012
Melissa Brown, CPC, CPC-I, CFPC, RHIA  As I watched the summer Olympics this past August, I couldn’t help but think about the correlation to the trend for “pay for performance,” or P4P, we face in health care. The Olympians used various approaches to prepare themselves for the Olympics, but they all had one goal in ...
Nov 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 Editor’s note: Health care reform brings a number of new concepts to coding, billing, compliance, and practice management. The most far reaching—especially from an organizational point of view—are accountable care organizations (ACOs). Below is the first ...
Sep 1st, 2012
By G.J. Verhovshek, MA, CPC The Physician Quality Reporting System (PQRS) is a voluntary program that pays eligible professionals (EPs) (including Medicare physicians and select providers and therapists) who provide services to Medicare beneficiaries and report on approved quality measures. For 2012, the incentive equals 0.5 percent of the EP’s total estimated Medicare Physician Fee ...