Medicare

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    When it comes to getting higher reimbursement rates from payers, “you have far more leverage than you think,” says Penny Noyes, president, CEO, and founder of Health Business Navigators. Payers need us more than we need them. The fact to remember is: we have leverage and   Read more..
    Posted on 22 Jan, 2018
    5 Steps to Get Payer Contract Renegotiations Rolling & Improve Practice Revenue, Part I
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    On Dec. 7, 2016, the Federal Register published a final rule from the HHS OIG that seemed to speak to many providers’ frustrations about the AKS rules regarding safe harbors. The report offered an olive branch to physicians and their business partners with revisions to old   Read more..
    Posted on 19 Jan, 2018
    Safe Harbor Paves the Way for Merit-Based Incentive Payment System (MIPS), Value-Based Reimbursement
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    All businesses, including medical practices and home health agencies, benefit from online customer feedback—provided, of course, the feedback is positive. Unfortunately, that’s not always the case. Happy customers aren’t nearly as motivated to spread the word as unhappy customers. Experts estimate, in fact, that a happy   Read more..
    Posted on 21 Dec, 2017
    Reputation Management: How to Deal with Bad Online Reviews
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    Remember the movie Field of Dreams? An Iowa farmer (played by Kevin Costner) is walking through his cornfield when he hears a voice whisper repeatedly, “If you build it, he will come.” He sees a vision of a baseball diamond in his field, decides to   Read more..
    Posted on 3 Nov, 2017
    If You Build It, Will They Come?
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    Every November, in a long, wordy Federal Register post, CMS releases Outpatient Prospective Payment System (OPPS) updates, which describe reimbursement policies for hospital outpatient and ASC settings for the following year. On a quarterly basis, CMS revises and releases ASC Addenda, which get down into   Read more..
    Posted on 19 Oct, 2017
    Medicare Reimbursement Basics for ASCs
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    MACRA, as you’re probably aware, is essentially a Quality Payment Program (QPP)—one that has streamlined the numerous quality improvement programs most coders have been involved with over the years. Among its objectives, MACRA is designed to reward healthcare providers for giving better quality of care   Read more..
    Posted on 12 Oct, 2017
    MACRA 101
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    The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) created new ways for the Medicare program at CMS to pay physicians for the care they provide to Medicare beneficiaries. MACRA also creates incentives for physicians to participate in Alternative Payment Models (APMs), including the   Read more..
    Posted on 18 Sep, 2017
    MACRA & the Role of Physician-Focused Payment Model Technical Advisory Committee (PTAC)
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    The best traditional marketing for your healthcare practice is virtually free. Referrals, nonetheless, are invaluable. Referrals help to attract new patients, boost your bottom line, increase brand awareness, and allow your practice to grow and thrive. So when you create a network of happy patients by   Read more..
    Posted on 22 Aug, 2017
    Create an In-Person Referral Network to Boost Your Business
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    When faced with an angry patient, remember the 5/20 rule.
    Patients who visit healthcare organizations often bring along family members or friends and are usually experiencing a degree of emotional and physical stress. This stress can sometimes affect their reactions to a situation. When service failures and complaints occur, you need to have tools in   Read more..
    Posted on 17 Aug, 2017
    Angry Patients, Service Foibles, and the 5/20 Rule
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    Practices with 15 or fewer clinicians and practices in rural and health professional shortage areas are a crucial part of the healthcare system.
    The Quality Payment Program provides options designed to make it easier for you to report on your performance and qualify for incentives. Physicians in small practices who report their performance can do just as well as mid-sized or larger practices. CMS expects the number and percentage   Read more..
    Posted on 15 Jun, 2017
    MIPS Preparedness for Small Medical Practices

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