Contents tagged with payment
Fast moving market changes pose challenges and opportunities for family doctors in every sector
By Tom Banning, TAFP CEO
I love a good Yogi Berra quote to start off a column and few have ever been as appropriate as this one is for family physicians today: The future ain’t what it used to be.
Changes in the health care marketplace here in Texas and across the country pose significant challenges and opportunities for our members, whether they practice in rural or metropolitan communities, regardless of where they fall on the broad spectrum of practice types. I believe addressing these changes is among the most pressing issues we face as an Academy.more
By Jonathan Nelson
Amid the daily deluge of news about efforts to repeal Obamacare and the possible passage of the next iteration of health reform winding its way through Congress, it’s easy to forget the looming deadlines associated with Medicare’s Quality Payment Program. But don’t do it! We’re halfway through the year, which means you have only 6 months left to report at least one quality measure or activity in 2017 to avoid being penalized in 2019.
Your Academy has put together a wealth of resources to help you avoid that penalty and prepare for what’s to come. Bookmark this link in your browser and visit it frequently, as modules are being updated and developed as regulations are modified: http://www.aafp.org/practice-management/payment/macraready.html.more
OIG steps up investigations of health care providers
Physician compensation under the microscope
By Corinne Smith, Strasburger and Price
Headlines like this should make you feel … more
Direct primary care: An alternative to fee-for-service
By Kate Alfano
Unlimited time with patients, decreased practice overhead, less exposure to risk, fewer medical errors, zero … more
With value-based payment reform on the horizon, quality improvement in the family doctor’s office is about more than checking boxes
By Jonathan Nelson
You can’t … more
Congress works to repeal SGR as 24 percent Medicare rate cut looms
AAFP submits comments, recommendations on bipartisan, bicameral proposal
Congress might be closer than ever to … more
What you need to know about pre- and post-payment EHR audits
By David Nilasena, M.D.Chief Medical Officer for the Centers for Medicare and Medicaid Services’ Southwest Region
An eligible … more
AAFP recently submitted a letter to the Centers for Medicare and Medicaid Services urging them to create a new set of evaluation and management codes for primary care physicians. The recommendation, sent to CMS Acting Principal Deputy Administrator Jonathan Blum, was accompanied by supporting documents based on the research of TAFP member David Katerndahl, M.D., M.A.
The Academy suggested that CMS create the codes and include them in the 2014 Medicare physician fee schedule. AAFP Board Chair Glen Stream, M.D., said in the letter that a new payment model is necessary for the country to reach better health care for people and populations, as well as lower health care costs. “That system should recognize the complexity of ambulatory care provided by primary care physicians and reward the quality of services provided in their practices,” said Stream.
New E/M codes that differentiate primary care physicians from specialists or subspecialists would show the true value of both types of care, rather than devalue them as the current coding system does. Katerndahl’s research shows that the complexity of a primary care physician’s patient visit including E/M is much different than those with other specialists.more
Want to receive enhanced Medicaid fees under ACA? You must complete the Texas Medicaid attestation form
The state’s Health and Human Services Commission recently … more
Medicare EHR incentive program: Learn about payment adjustments and hardship exceptions
By David Nilasena, M.D., chief medical officer for the Centers for Medicare and Medicaid … more