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...
Read More
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,...
Read More
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...
Read More
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...
Read More
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...
Read More
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...
Read More
6 Key Takeaways From the MIPS Proposed Rule for 2018 By Grant Huang, CPC, CPMA, Director of Content at DoctorsMangement CMS has just unveiled its 2018 Quality Payment Program (QPP) proposed rule, which contains changes to the Merit-based Incentive Payment System (MIPS), making it the first major proposed rule released by the agency under...
Read More
Obamacare Repeal Collapses Over Republican Divisions By Grant Huang, CPC, CPMA, Director of Content at DoctorsMangement The Senate bill to replace the Affordable Care Act (ACA) appears to be dead as this issue of The Business of Medicine goes to press, leaving the future of American healthcare more uncertain than ever. What isn’t a...
Read More
HHS: Healthcare Cybersecurity In ‘Critical’ Condition By Grant Huang, CPC, CPMA, Director of Content at DoctorsMangement The nation’s healthcare provider organizations are at greater risk of cybersecurity breaches than any other type of organization, according to a highly-anticipated HHS report on the state of cybersecurity across the industry. Entitled “Report on Improving Cybersecurity in...
Read More
Congress Could Delay Radiography Cuts By Grant Huang, CPC, CPMA, Director of Content at DoctorsMangement CMS began cutting the payments you receive for taking X-ray scans using analog equipment on Jan. 1 of this year. The move is intended to gradually prod providers into investing in more advanced X-ray equipment known as digital radiography...
Read More
