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07/06/2009

The proposed 2010 Physician Fee Schedule aims to expand the current Physician Quality Reporting Initiative (PQRI) while simplifying the way CMS's e-prescribing program works (see story).

07/06/2009

This chart shows the effectiveness of electronic medical records systems (EMRs) based on a recent, nationwide survey of 2,758 physicians published in the New England Journal of Medicine.

07/06/2009

It's essential for everyone in your office to work up to their license for a patient-centered medical home to work effectively. The roles and responsibilities in your practice need to be clearly defined so you have the right people, doing the right job.

07/06/2009

Your primary care practice can boost revenue by making sure you bill common dermatology procedures done in your office correctly. Boosting your ability to provide and bill a wider array of services will also help prepare your practice to become part of a patient-centered medical home, experts say.

07/06/2009

You probably already knew CMS was planning to propose a huge cut to your 2010 payments, but the agency also proposes to eliminate payment for consult codes, directing specialists to instead bill new and established patient E/M codes. In addition, the agency proposes to eliminate the cost of drugs from the physician payment formula, a concession long-sought by physician specialty groups.

06/29/2009

This week's question is answered by John Burns CPC, senior consultant for DecisionHealth Professional Services.

Q: Can I bill a device check (pacemaker or implantable cardioverter-defibrillator) on the same day as an office visit?

06/29/2009

If you get hit with erroneous overpayment demands when your local recovery audit contractor (RAC) opens for business later this summer, CMS has some advice for you: appeal.

06/29/2009

This chart shows the patients-per-provider ratio in the Medicare program, comparing the number of enrollees per provider, by specialty, in 2007 and 2008.

06/29/2009

Regardless of whether the health reform bill results in a public insurance option, the dated and much-maligned Sustainable Growth Rate (SGR) formula that currently dictates your Medicare payments is likely to be replaced, so long as some sort of reform package passes, experts say.

06/29/2009

You'll need to identify as many patients eligible for a covered osteoporosis screening as you can - if you want to get the most out of your dual-energy X-ray absorptiometry (DEXA) machine. Reimbursement rates for DEXA have fallen sharply in recent years, with a 40% cut in 2007 (PBN 5/28/07) and the future is set to get worse.

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