TaxOne of the most significant, and controversial, provisions of the Affordable Care Act is the new excise tax on high-cost health plans proposed to both slow the rate of growth of health costs and finance the expansion of health coverage.

Office VisitIn our next blog series we will discuss five ways practices can optimize revenue cycle management – collecting every dollar earned.

Step 1: Keep Your Schedule Full and Productive

Doctor with MoneySource: Kaiser Health News, Could Congress Be Ready To Fix Medicare Pay For Doctors? March 16, 2015 Today’s problem is a result of efforts years ago to control federal spending – a 1997 deficit reduction law that called for setting Medicare physician payment rate

United States CongressMany believe that Congress will again pass a short-term pay-fix before attempting a permanent repeal of the Medicare Sustainable Growth Rate (SGR). The temp fix passed last year expires on March 31, 2015. There are reports, however, that House and Senate leaderships are currently discussing a way to implement a permanent pay-fix before the March expiration date.

ICD-10 RedAs the transition to ICD-10 fast approaches, it will become important for providers to begin considering the use of unspecified codes to best describe a patient's conditions, which may be ambiguous due to the available documentation.

gearsAs the deadline for the ICD-10 transition fast approaches, we have been bombarded with an onslaught of information and strategies on how to navigate the change. However, little focus has been paid to how to manage this change using technology – specifically a customizable rules engine.

Last Spring, Governor Andrew M. Cuomo announced that New York finalized an agreement with the federal gNew York State Sealovernment for a groundbreaking waiver that will allow the state to re-invest $8 billion in federal savings generated by Medicaid Redesign Team (MRT) reforms. The goals of the MRT waiver amendment are nothing short of transforming the state-funded healthcare system.

Modifier 25 and 91Appropriate use of modifiers is one of the most common areas of confusion in medical billing. That confusion often leads to unnecessary denials, delayed payment and even payor audits.

precisionmedicineOn January 20, 2015, as part of his State of the Union address, President Obama announced the upcoming launch of the White House’s Precision Medicine Initiative.(1) The Initiative will allocate $215 million in 2016 for work to collect and use genomic, lifestyle and other clinical data to further

Supreme Court SealSource: Proskauer Rose Client Alert

Supreme Court Hears Oral Argument in King v. Burwell: Will Impermissible Federal Coercion Save the ACA?