Dec 13th, 2016
Account for DRG and comorbidity adjustments and ensure all active medical treatments and diagnoses are documented. Part of our responsibility as healthcare business professionals is to understand the financial realities of healthcare delivery and reimbursement. For those of us working in mental health, this means learning the “ins and outs” of the Inpatient Psychiatric Facility ...
Jul 8th, 2014
As they do every year about this time, the Centers for Medicare & Medicaid Services (CMS) issued, July 3, hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system policy changes and payment rates in a proposed rule (CMS-1613-P). There are no big surprises in this proposed rule. For the most part, CMS ...
Jan 16th, 2013
Maintaining a strong bottom line is key to a successful business. The complexities found running a medical practice today make maintaining a strong bottom line an overwhelming challenge. Here are six fundamental steps to achieving financial success. Maintain productivity – The most important part of achieving financial success in a clinic is a provider team ...
In Billing
Dec 30th, 2011
To better allow physicians to manage the uncertainty of threatened Medicare fee reductions slated for the 2012 Medicare Physician Fee Schedule (MPFS), the Centers for Medicare & Medicaid Services (CMS) extended the 2012 Annual Participation Enrollment Program. Fortunately, a two-month Congressional suppression of the mandated pay cut followed. Physicians narrowly escaped a 27.4 percent reductio...
In Billing
Dec 19th, 2011
The Sustainable Growth Rate (SGR) cut of payments to physicians servicing Medicare payments is not going to happen, at least for two months. The  House of Representatives passed a bill similar to one passed by the Senate on Dec. 17 that postpones the impending 27.4 percent cut to physicians’ Medicare reimbursement rates for two months.The Senate’s amended ...