Implementation Of The New Payment Models Delayed By CMS

The Centers for Medicare and Medicaid Services (CMS) has released an Interim Final Rule on March 21, 2017, which delays the effective date of many new Medicare payment models that were developed and introduced by the CMS Innovation Center, along with the introduction of updates to an existing model. To be specific, the Interim Final…

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CMS Trying To Attract More Doctors And Patients To ACO

Recent reports suggest that the CMS is trying to improve provider and patient participation in Accountable Care Organizations (ACOs). They are planning to improve participation by automating the process to pair patients with the doctors who are participating in the ACO models. This means that in the coming weeks, Medicare beneficiaries will be able to…

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How To Talk To Your Clients About Outsourcing

I get the same question all the time from existing and prospective clients “Do I tell me clients that I am outsourcing their work to India or not?”.   Typically, medical billing companies have contractual provisions whereby the medical providers authorize the billing services to be performed by employees, agents, contractors, and subcontractors of the…

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American Health Care Act To Repeal And Replace ACA

The Republicans have finally revealed their much-awaited legislation for replacing the Affordable Care Act. The health bill, named American Health Care Act, aims in phasing out key aspects of the law over a course of several years as the stalemate between the moderates and the conservatives in the party continues. The American Health Care Act…

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Senator Charles Schumer Expresses Concern In GOP Medicare Plans

The U.S. Senator Charles E. Schumer (D-NY) recently voiced his concerns about the changes made to Medicare by the members of the congress. This even included replacing Tom Price, the current Health and Human Services Secretary, whose proposals include turning Medicaid into a voucher based, privatized system as well as cutting Medicaid. The Medicare program…

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Meaningful Use Reporting Deadline For EPs Extended

The Centers for Medicare & Medicaid Services (CMS) has postponed the deadline for the attestation to Meaningful Use by Eligible Physicians. The deadline was fixed at February 28, but now it is postponed to March 13, 2017. The deadline for Eligible Hospitals was also postponed by CMS recently. The Electronic Health Records program of Medicare,…

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Why Should You Outsource Patient Demographic Entry And Eligibility Verification

As a medical billing company you understand that every piece of information in the patient demographic form is essential for claim payment. Accurate entry of these details greatly affects the revenue and reimbursement of the practitioner and the medical billing company. An error free patient demographic entry offers accurate data for claim submission. Updating as…

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The Healthcare Landscape Is Changing

Mergers and acquisitions have been the hot talks in the healthcare landscape for many months now. Health systems are merging, insurers are merging, and many hospitals are buying physician practices at unprecedented rates. Earlier in the 90’s, hospitals started buying up practices and employing doctors, but the result was not like what was expected by…

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Skilled Nursing Facility Value-Based Purchasing Initiative Launched By CMS

The Centers for Medicare & Medicaid Services (CMS) has recently launched a new initiative, named Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program. Though the program aims to streamline health care services, reports say that the project is immensely complex. CMS is now trying to fix the issue and clarify the program by providing new…

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Obama Administration Planning To Use Obscure Treasury Department Funds

The Obama Administration is now trying hard to pay health insurers billions of dollars that the Federal government owes under ACA. This is planned through a move that may circumvent Congress and help improve the signature legislative achievement of the President before he leaves his office. The Department of Justice officials privately told health plans,…

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