Contents tagged with payment
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
Once again waiting until the last minute, Congress passed a bill on New Year’s Day that averts the fiscal cliff, delays sequestration provisions for two months, and staves off the 26.5 percent cut in Medicare physician pay for another year.
The fiscal cliff agreement increases revenue largely by targeting married couples earning more than $450,000 a year and single people earning more than $400,000 a year by raising rates for wages and investment profits, but shields those earning less than $250,000 a year from income tax increases, the Washington Post reports.
As TAFP reported in the weeks leading up to this agreement, Congress had to find roughly $30 billion to pay for a one-year patch to the sustainable growth rate formula and considered reversing the Medicaid primary care bonus to offset the cost. Modern Healthcare reports (free registration required) that cuts will come from other Medicare programs, most of which affect hospitals, pharmacies, and dialysis clinics. The primary care bonus appears to be intact.more