Yapprovedclaimesterday we wrote about the highlights from the final payment policies and payment rates published on October 31. 2014 for services furnished under the Medicare Physician Fee Schedule (PFS) by CMS on or after Jan. 1, 2015. Here is more detail on some of the Key Provisions of the rule.  Additional provisions will be covered in tomorrow’s blog.

Many providers struggle to improve quality, lower costs and enhance the patient experience in today’s value-based environment. In order to thrive, providers must embrace a new ambulatory system of care driven by population health management. Dr. Michael Renzi, CMO of Continuum Health Alliance presents practical strategies for implementing population health management within your organization, including specifics about five key components required for success:

The Centers for Medicare and Medicaid Services late Friday afternoon published the final Physician Fee Schedule rule for 2015.  The rule brings a number of changes that doctors and practice managers need to understand about chronic care, telehealth and meaningful use.

Doctor with MoneyEnrollment for 2015 for ACA-mandated exchange plans begins in 2 weeks. In year two there are many new plan participants and price points. This blog posts offers a summary of some of the major changes. 

Doctor with Patient Last week, eMDs participated in the MGMA annual conference in Las Vegas.  I managed to sit in on a couple of sessions - one of which was led by Joan Hablutzel, senior industry analyst with the Medical Group Management Association.

Even though you may not have completely migrated to ICD-10, it's a good idea to start ICD 10 training now.

Bundled PaymentsThe Grace Period Under the ACA, insurers must wait three months before canceling the policies of subsidized enrollees who are delinquent on premium payments.

On October 1, 2014, Connecticut became the next state looking to regulate the mergers of medical groups.

Medscape recently released their 2014 Insurer Ratings study where more than 6300 physicians across 25 specialties took part in an online survey to share what it is like to work with leading insurers.  In addition to surveying physicians about various aspects of working with insurance companies, the survey also collected information about how much insurance companies were paying for common codes.

circle2-SWe hear a lot these days about the physicians being rated - by consumers, by healthplans, by the government.  Well what about doctors rating health plans?