National Healthcare ExchangeEnrollment on the national healthcare exchanges continue to expand according to a Feb. 2014 study of those eligible to purchase on a government-sponsored exchange by the consulting firm McKinsey & Co.

creditcardhandsAt MDeverywhere, we have had a first row seat as effective patient collections have assumed a more and more important role in a practice's financial health. Simply put, collecting the patient portion consistently and quickly is often the difference between profitability or not for a practice.

CMS-Update Email issued by CMS on May 1


nurse practitioner logoThe Nurse Practitioners Modernization Act will become law as part of the 2014-2015 enacted budget. The NPMA takes effect on January 1, 2015.

Independent-Physician-content Source:


Source: Rich Daly, HFM Senior Writer/Editor. To view the original article click here

Two-thirds of the office-based specialist care provided to accountable care organization (ACO) enrollees was done outside of the comprehensive care entity, a new study found.

CMS logoAre you an eligible professional or part of a group practice participating in PQRS this year? If so, you must satisfactorily report data on quality measures during 2014 to avoid the 2016 payment adjustment.

 CMS logoOn April 1, 2014, President Obama signed legislation that delays the scheduled Sustainable Growth Rate (SGR) cut to physician payments for one year (and delay ICD-10 implemetation!).

While fee-for-service is not going away anytime soon that we can see, many alternative payment models are in play impacting how physicians manage their patients, document the patient encounter and manage re-visits. Many factors are now being considered to determine the amount of reimbursement the provider receives as we see the shift to determine payment moving from volume to value.

The transition to ICD-10 is the biggest change to face our industry in decades. Essentially everything associated with coding a patient encounter and submitting that encounter for payment is going to have to change.  There is the potential for major disruption in operations, payment streams and productivity for those that don’t adequately prepare. So, how do you survive? For many practices, the best option will be to engage with a revenue cycle partner that has already made the investment in the tools, systems and training and can provide a turnkey solution for your practice.