Jan 1st, 2013
By Stephen C. Spain, MD, FAAFP, CPC and Angela “Annie” Boynton, BS, CPC, CPC-P, CPC-I, CPC-H, RHIT, CCS, CCS-P Part 3: Securing the right care at the right time depends on whether ACOs can incorporate EBM into everyday practice. Editor’s note: This is the final installment in a three-part series on health care quality, value, ...
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 Lynn Berry, PT, CPC Quality Resource and Usage Reports (QRURs) are the first reports to use performance measures that may be included in the Physician Feedback/Value-based Modifier Program the Center for Medicare & Medicaid Services (CMS) is proposing to begin in 2015. The Value-based Purchasing (VBP) initiative, part of the Affordable Care Act of ...
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 ...
In Billing
Jul 13th, 2012
The Centers for Medicare & Medicaid Services (CMS) reports, as of July 1, the addition of 89 new, approved Accountable Care Organizations (ACOs), bringing the total number of these new health care delivery systems to 154, covering 2.4 million beneficiaries. The ACO model is formed by groups of doctors and other health providers who have ...