As Cuts Loom, Should You Switch to Digital Radiography? By Andy Oterson National Account Manager at Henry Schein Medical. Last year, Congress passed the Consolidated Appropriations Act, which includes reductions in reimbursements for imaging performed with analog X-ray and computed radiology systems, beginning in 2017 and beyond. Medicare will begin to reduce payments by 20% on analog...
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Blue Cross Plan Cuts Modifier 25 Payment by 50% By Grant Huang, CPC, CPMA Director of Content at DoctorsManagement. Practices in Pennsylvania are facing a sudden, massive pay cut thanks to a move by Independence Blue Cross (IBX) to slash payment by 50% for all E/M services with modifier 25 attached. Beginning on Aug. 1,...
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Could 2018 Forever Change E/M Coding and Documentation? By Grant Huang, CPC, CPMA Director of Content at DoctorsManagement. The most fundamental rules for documenting and coding evaluation and management (E/M) services could see a major change in 2018 under provisions in Medicare’s Physician Fee Schedule proposed rule for next year. These changes could include simply...
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Repeal Efforts: Will Obamacare ‘Implode’ as Trump Predicts? By Grant Huang, CPC, CPMA Director of Content at DoctorsManagement. Efforts to replace the Affordable Care Act (ACA) have ended with no clear path to a second attempt, while Congressional Republicans seem uninterested in reviving them. But without any action from Congress, could the ACA “implode” on...
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6 Tips to Get Paid by Medicare By Frank Cohen, Director of Analytics and Business Intelligence As originally published by gopractice.kareo.com Accepting Medicare is one of many ways in which physicians can expand their practices. (See my previous article on the Pros and Cons of Medicare for Independent Practices.) That’s because even despite often having a lower fee schedule, Medicare...
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6 Highlights from 2018 Fee Schedule Proposed Rule By Grant Huang, CPC, CPMA Director of Content at DoctorsManagement. Your practice could be in for some major changes in 2018 if Medicare’s Physician Fee Schedule proposed rule is any indication. CMS is looking at changing its guidelines for E/M codes for the first time in more...
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Pros and Cons of Medicare for Independent Practices By Frank Cohen, Director of Analytics and Business Intelligence As originally published by gopractice.kareo.com These days, there’s no shortage of payers in the healthcare marketplace, and many physicians choose to contract with those that pay the highest rates. This strategy means that Medicare—a payer that often pays the lowest rates—falls...
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The Business of Medicine Newsletter - August 2017 Volume 5, Issue 8 August 2017 Inside the August issue: With X-ray cuts looming, should you switch to digital film to avoid losses? Plus, highlights from the 2018 Medicare fee schedule proposed rule, why CMS wants to change its E/M coding rules, a commercial payers implements a...
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Medicare Makes Changes to the Appeals Process By Sean Weiss, CPC, CPMA, CHC, CEMA, CMCO, CPMA, CPC-P, CPC Partner, Vice President of Compliance On June 29th The Centers for Medicare and Medicaid (CMS) issued the Medicare Program: “Changes to the Medicare Claims and Entitlement, Medicare Advantage and Organization Determination, and Medicare Prescription Drug Coverage...
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PRESS RELEASE DoctorsManagement Appoints Gene Good as CEO to Expand the Firm’s Position in the Healthcare Consulting Arena New CEO, Gene Good, has vision, strategy and dedication to help healthcare facilities deliver quality care in the midst of reform and industry turmoil. Gene Good, CEO DoctorsManagement, LLC Knoxville, Tennessee, August 8, 2017: DoctorsManagement (DM) announced...
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