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Trump era likely will increase collections from patients but won’t end MACRA

12/05/2016

Beyond repeal of the Affordable Care Act (ACA), the incoming Trump administration may change health care policy in ways that will directly impact your practice — particularly if health savings accounts (HSAs) are tapped as an alternative.

7 coding tips for 2017: Find success with a coding roadmap

12/05/2016

by: Richard Scott

Prepare to kick off the new year with a bang by taking stock of new codes for care management, behavioral health and preventive services and getting ready to overcome wrinkles to some core services, such as mammography.

Report telehealth with new place of service code, expect facility fee for payment

12/05/2016

by: Julia Kyles, CPC-A

Include place of service code 02 (The location where health services and health-related services are provided or received, through telecommunication technology) on claims for telehealth services submitted on or after Jan. 1, 2017, to avoid denials.

Revised list of Stark designated health services swaps old codes for new

12/05/2016

by: Julia Kyles, CPC-A

Medicare’s final 2017 physician fee schedule includes an annual update of changes to codes that constitute four categories of designated health services under the Stark physician self-referral rule.

Providers billed millions of mammography claims with codes set for deletion

12/05/2016

by: Richard Scott

Pay close attention to your mammography coding in 2017 because several deleted codes and a delay in CMS payment processing means you’ll need to shift to current HCPCS codes to ensure you gain reimbursement.

Transitioning to team-based care a challenge

12/01/2016

While the number of practices adopting patient-centered medical homes (PCMH) and other team-based care models continues to increase, practices making the transition face a number of challenges in transitioning to a team-based unit.

Study: Team-based care lowers costs

12/01/2016

A retrospective study that compared spending and patient outcomes at practices that employed team-based care versus traditional practices found that team-based care produces better patient outcomes in most categories, as well as lower spending.

Number of small practices continue to dwindle

12/01/2016

Consolidation among medical practices is nothing new, but that consolidation has accelerated in recent years as more practices are choosing to sacrifice independence for the security of being part of a larger medical group.

Consolidation among practices continues

12/01/2016

More than one-third of physicians in the U.S. are now employed by a hospital or health system, according to a new study that estimates the number of independent practices declined by 50% over a three-year period.

HHS issues new data breach guidance

12/01/2016

Federal officials have issued new guidance on what hospitals and physicians need to do in the event of a ransomware attack and announced efforts to step up investigations of data breaches that involve fewer than 500 patient files, which could impact some physician practices.

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