Category Archives: Physician Practice Management

CMS Focuses on a Modern Medicare in New Proposed Rules

By | July 25, 2018
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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
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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
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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
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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
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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
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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 »