By David Harlow – MACRA, the current framework for Medicare physician payments, specifically quality incentive payments, took effect January 1, 2017. The 2015 law replaced the flawed SGR (sustainable growth rate) reimbursement formula in a rare show of congressional bipartisanship,
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By Dr. Vindell Washington – Data is the lifeblood of the value-based payment environment. Every time a doctor takes care of a patient, we have an opportunity to use information in ways that help patients get better care.
By Jeff Jones – In contrast to the current fee-for-service care, the value-based care model aims to compensate physicians for high-quality service, clinical performance, and patient satisfaction.
By Crystal Ewing – As the rules and requirements around health insurance continue to increase in complexity, more healthcare providers are beginning to look to clearinghouses to help them improve revenue cycle management (RCM) overall.
Learn More about the Merit-based Incentive Payment System and How to “Pick Your Pace” in 2017 The Centers for Medicare & Medicaid Services (CMS) invites…
HHS finalizes streamlined Medicare payment system that rewards clinicians for quality patient care MACRA rule will accelerate health care system’s shift toward value.
By Scott Ablin – Claims and clearinghouse services encompass everything from verifying patient eligibility to claims processing to handling all forms of payer payments.
By Mordy Pelleg – For clinicians working in the complex American healthcare system, getting paid for every single procedure, service and visit has always been something of a challenge. Yes, fee-for-service medicine created a fairly linear relationship between effort and remuneration, but even in that scenario many hospitals and practices have teetered on the edge of solvency, in part for lack of efficient billing practices.
Fewer than a quarter of U.S. hospitals are on track to hit the Obama Administration’s 2018 goal of providing at least half their patient care through so-called “value-based” arrangements – structures that tie reimbursement from Medicare to the quality of care patients receive.