Keep these challenges in mind when choosing an alternative payment model for your practice. The Center for Medicare and Medicaid Innovation (CMMI) is promoting Alternative Payment Models (APMs) as a tool to reel in costs while improving patient...
More InfoOn Wednesday, February 23, 2022, a federal court in Texas struck down five controversial portions of the interim final rule (“Rule”) jointly issued by three federal executive agencies (“Departments”) that implement the independent dispute...
More InfoThe third batch of Phase 4 COVID-19 Provider Relief Funds will offer $560 million to 4,100 providers who faced revenue loss during the pandemic and serve vulnerable populations. HHS is distributing another $560 million in Provider Relief Fund...
More InfoNational healthcare spending increased by 3.4 percent in 2021, while the Health Care Price Index (HCPI) maintained a year-over-year growth of around 2 percent, according to Altarum’s February 2022 Health Sector Economic Indicators (HSEI) briefs...
More InfoHoning your approach when negotiating with insurers can lead to better reimbursement rates. Last I checked my plumber charges me more than some physicians make for some services. It’s not to say that plumbers don’t work hard, but they certainly...
More InfoMost patients, including those with chronic illnesses, wanted to be notified via call or text that their virtual visit was about to begin rather than stand by in a virtual waiting room, per a new poll. Though patients have previously made their...
More InfoMany busy physicians find they don’t have the time and energy to develop a savvy financial plan for their practice or their own personal needs. That’s why physicians needs the collaborative support and guidance of a good financial team. Many...
More InfoAlthough health plans aim to promote value-based care with prior authorization requirements, providers and patients may experience negative repercussions from the process. Prior authorization negatively impacted patients and providers alike by...
More InfoEmergency medicine is facing a host of claims reimbursement updates this year, from looming Medicare payment cuts to new rules about the split and critical care visits. Emergency department providers are still reeling from the effects of the...
More InfoAHIP, the top lobbying organization for commercial insurers, is warning the feds that provisions in its proposed rule governing the Affordable Care Act’s exchanges for 2023 could “undermine” the growing stability there. For...
More InfoThis is what providers can expect in 2022 in the form of new technology audits. During 2022, healthcare providers will see more options to exploit cyber technologies designed to aid them in management of Medicare audits. Below we review the...
More InfoMost claims payments are now electronic, but providers can still realize millions in cost savings and reduce burden through true claims payment optimization. Claim payment is one of the most important steps in the claims management process...
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