Doctor with MoneyThe Physician Payments Sunshine Act requires manufacturers of drugs, medical devices and biologicals that participate in U.S. federal health care programs to report certain payments and items of value given to physicians and teaching hospitals.

CMSRecently, the Center for Medicare and Medicaid Services (CMS) issued letters to eligible professionals (EPs) and group practices who will receive negative penalty adjustments to their 2015 Medicare payments and distributed payments to those EPs who submitted informal review requests for PQRS and eRx supplemental payments for their 2012 performance.

Doctor with PatientDetermining which insurance company or government program is primarily responsible for paying a physician for a patient's care is not always straight forward.  In fact, it can be quite complicated.  Especially when you throw in secondary and even tertiary responsibility.

Doctor with MoneyDetermining which insurance company or government program is primarily responsible for paying for a patient's care is not always straight forward.  In fact, it can be quite complicated.  Especially when you throw in secondary and even tertiary responsibility.

CMSThe American Medical Association (AMA) has added to an earlier policy statement calling on the Centers for Medicare & Medicaid Services (CMS) to drop penalties for not meeting the meaningful use requirements of the electronic health records (EHR) incentive program.

revenue cycle partnerStarting in 2015, New York consumers will have an added layer of protection against out-of-network billing when healthcare providers will be obligated to provide patients with their plan affiliations prior to the provision of non-emergency services, and verbally at the time of the appointment.

Findings from a new survey from AHIMA and the eHealth Initiative show that a significant number of providers are still missing some of the basic building blocks of a successful conversion to ICD-10, including financial impact assessments and plans for internal and external testing.

bestpracticesLast week, MDeverywhere hosted a webinar on best practice revenue cycle processes for hospitalists.  Included in that was information on best practices hospitalists can use in coding and documentation.  More specifics on that topic are included in a free white paper entitled Breaking the Code Toward Higher Revenue: Coding Best Practices for Hospitalists.

Bundled PaymentsBy ushering in Republican control of the Senate and extending the party's control of the House, the election results last week may bring about important changes for the health industry in the coming year.

Doctor with MoneyThe healthcare system in the United States has historically been oriented around the tertiary or institutional setting of care.  As costs have outstripped resources and technology has enabled greater flexibility in appropriate care setting, we are increasingly shifting to an Ambulatory-centric model.