valuemodifierThe Value-Based Modifier Program (VBMP or VBM) was created to establish differential payment to physicians based on the quality of care provided to Medicare beneficiaries. Costs are measured during a specific time period and based on provider participation in the Physician Quality Reporting System (PQRS) program.

PQRS2015PQRS (the Physician Quality Reporting System) started in 2009 as Medicare’s quality incentive program. Since that time it has been steadily expanded and, going forward, there are only penalties.

VTSealWhen Vermont Governor Peter Shumlin announced last month the state was scrapping plans to create a single-payer system, he effectively pulled the plug on the only active effort by a state to implement a single-payer healthcare system. His announcement stated simply that the economics didn't work - meaning that the costs were too high.

PQRS2015CMS has released the Physician Quality Reporting System (PQRS) specifications for the 2015 reporting period and as expected, they are full of changes.

Doctor with PatientThere is no question that a physician practice's survival - let alone growth and expansion - in today's environment, requires navigating some pretty complex waters and a willingness to adapt quickly.

CPTIt’s that time of the year again when significant changes are introduced in the Current Procedural Terminology (CPT).

More than 500 CPT® changes are being implemented in 2015:

shoppingcartThe open enrollment period for 2015 for the Affordable Care Act is well underway. Though the final numbers on participation have yet to be tabulated, by all accounts this year’s process is going more smoothly.

DecemberCommunityServiceIt was another great day with the Wake County Public Library System. On December 12th, the North Carolina MDeverywhere team participated in the 2014 Book Sale and Festival of Reading. The festival consists of over 350,000 books for sale.

bestpracticesAlthough prior authorization has been an issue among healthcare providers for at least a quarter of a century, surprisingly little is known about its cost, either to individual practices or to the healthcare system as a whole.

certificateThe American Board of Internal Medicine (ABIM) released changes to the accreditation process at the beginning of 2014, and nearly 20,000 physicians have signed a petition calling for those changes to be rescinded.