The Boston Globe is running a series of articles about patients being billed for out-of-network providers in the healthcare setting. The articles detail how patients get hit with a surprise […]

While the intent of MIPS is important with its end goal of improved quality and patient care, the program’s content can be challenging for coders, billers and providers. The data […]

“The Medicare Payment Advisory Commission is pushing for the immediate repeal and replacement of a Medicare payment system that aims to improve the quality of patient care.” – Modern Healthcare […]

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]

A recent survey in Healthcare Informatics  on physician readiness for implementing MACRA indicates a strong need for assistance and support.  The overall results of readiness of physicians polled show that […]

As usual I have a song in my head and this month is no different (rock ‘n’ roll tunes are so catchy)!  As we are about to navigate through uncertain […]

MIPS is coming and physicians are unsettled.  Programs with the best of intentions can have unintended side effects. Healthcare providers across the U.S. have justified complaints regarding the multiple reporting […]

On April 27, 2016, the Department of Health and Human Services issued a Notice of Proposed Rulemaking to implement key provisions of the Medicare Access and CHIP Reauthorization Act of […]