flagsICD-10 was developed by the World Health Organization in 1993 and was adopted by the vast majority of countries by 2000. Today, the United States and Italy are the only two major industrialized nations that continue to use ICD-9. Each country had their own unique challenges when transitioning to ICD-10. Some transitions were smooth while others deemed disastrous.

To join an IPA or not to join an IPA. THAT is a very real question every private practitioner should be considering today.  So many changes in healthcare resulting from healthcare reform, including healthcare exchanges and payment reform, are forcing providers to reconsider the security and financial well being of operating as an independent entity.

rising-cost-of-ICD10In October 2008, Nachimsons Advisors produced a landmark paper on the cost of ICD‐10 implementation for physician practices and clinical laboratories.

CongressOn March 6, Republicans attempted to combine legislation that repeals the Medicare SGR formula with a separate bill that would delay the ACA mandate requiring individuals to purchase health insurance.  Their logic was that the money saved by delaying the individual mandate (by not paying subsidies to those purchasing health insurance) would pay for the repeal of the SGR.

United States SenateIn December 2013, physicians received a reprieve from financial disaster as the Senate approved a bipartisan budget deal — that had already been passed by the House — that delayed an almost 24% reduction in Medicare pay from January 1 to April 1.

Fee For Service is not going away tomorrow, however payment reform will impact how providers will be paid. Fees will be based on quality and out of of services rather than for providing a service. In this 1-hour video webinar, Bert Orlov, partner with Integrated Healthcare, reviews where increments will come and the new forms of reimbursement that are emerging—at different rates, depending on specialty and geography. Discussion topics include:

EHR Incentive Logo The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.

This is a scary statistic.  And it's not the only one.  In an article posted on 2/10/2014, Daniel R.

We all know the scenario - a really terrific doctor who is very skilled clinically and who cares deeply about their patients and their well being.  They are good at being doctors.  But their practice is struggling - struggling financially even though their schedules are full.  Or they are struggling with frequent and disruptive staff turnover.  Or they are struggling under mounds of denied claims and high accounts receivable - having done the work for the patients but not received payment from the insurance company.  Unfortunately these scenarios are not uncommon.

As was originally originally published February 19, 2014 10:12 PM and updated February 19, 2014 10:59 PM By RIDGELY OCHS, many Long Island doctors say they are being listed on New York's health exchange plans without their knowledge, generating confusion and frustration among the physicians.

Some doctors said they are surprised to find out they are apparently listed with a plan. Others said they are shocked to learn they don't belong to a particular plan. Many say they have no idea what the reimbursement rates are, and all complain they are getting few answers.