Category Archives: Physician Practice Management

Get Registered for Fall Educational Programs Today

By | October 24, 2018

Our chapter has a full schedule in November!  With two in-person programs and one webinar in before Thanksgiving, there’s something on the agenda for everyone. Capital Finance Seminar: Debt Management and Risk Management–From Basic to Complex November 1–Bank of America Merrill Lynch, 225 Franklin Street, Boston, MA 02110 Join us for an afternoon program highlighting debt finance and enterprise… Read More »

CMS 2019 Proposed PFS Rule: Where to start

By | October 10, 2018

Many of you are likely aware that the Centers for Medicare and Medicaid Services (CMS) released the following rule for comment, which were due in September: Medicare Program Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability… Read More »

Introducing HFMA’s “Healthcare Delivery Transformation Committee!”

This fall two of the HFMA MA-RI Chapter’s Committees, the Enterprise Performance Management / Physician Practice Management Committee and the Managed Care Committee merged to form the newly founded “Healthcare Delivery Transformation Committee.”  The merger is a result of the changing healthcare delivery landscape; there are far more similarities than differences among the operational and financial concerns of managed… Read More »

CMS Focuses on a Modern Medicare in New Proposed Rules

Earlier this month, CMS proposed changes to the Medicare Physician Fee Schedule (the “PFS Proposed Rule“) and Quality Payment Program (the “QPP Proposed Rule“) with the goal of “modernizing Medicare and restoring the doctor-patient relationship.” The proposed changes achieve this goal by streamlining the billing process and reducing the amount of paperwork providers face, empowering providers to maximize use of electronic health record systems, and… Read More »

Value in Managing Chronically Ill Patients

By | July 18, 2018

The Center for Medicare and Medicaid Services (CMS) launched the Chronic Care Management (CCM) program in January 2015. The introduction of CPT code 99490 allowed provider led teams to remotely manage the health of their sickest patients. Medicare fee-for-service beneficiaries with two or more chronic conditions among the twenty seven outlined by CMS (source) may be enrolled, after… Read More »

The Latest Issue of the HFMA Advisor is Available

By | July 17, 2018

The latest issue of the HFMA Advisor is now available online (reminder: the HFMA Advisor is no longer mailed in hard copy format).  This issue features a summary of the 2018 Physician Practice Management/Enterprise Performance Management Conference and the 2018 Wine Dinner.  The issue also includes articles on the Medicare claims backlog, data theft, salary negotiation, and medical scribes. We hope you enjoy this… Read More »

Evolution of Health Care: Bridging the Clinical, Administrative and Financial

By | June 27, 2018

By:  Frazer Buntin & Kate Rollins The new skills required to operate a value-based care business successfully are vast, and the financial return becomes viable only if a provider can go at-risk for enough lives to scale their investment. This reality is a major inhibitor to providers who want to move up the risk continuum and for those… Read More »

Sunshine for Mid-Level Practitioners?

By | June 12, 2018

Late last month, Senators Grassley (R-IA), Brown (D-OH), and Blumenthal (D-CT) introduced the Fighting the Opioid Epidemic with Sunshine Act, a bill that would expand Physician Payment Sunshine Act reporting requirements to cover payments and other transfers of value made to advance practice nurses and physician assistants. As indicated in Senator Grassley’s announcement of the bill, the Senators are tying the expansion… Read More »

Credentialing Strategies to Streamline Your Physician Enrollment Process

By | May 30, 2018

The Importance of Credentialing The process of credentialing refers to both obtaining approval for a provider to practice at a hospital (i.e. privileging) and to be reimbursed for services by a particular payer. Both processes require satisfying many criteria, including proof of identify, education, training, licensing and board certification, as well as verifying malpractice insurance and reviewing any… Read More »