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Billing Tip of the MonthTracking Copays to Be Waived in KareoAmy Burney, Practice Manager, Phillip's PediatricsSometimes our doctor will tell us to waive a patient copay. In order to keep track of this, I take a couple of steps... Read More Top News and Ideas from IndustryNew AMA Health Insurer Report Card Finds Increasing Inaccuracy in Claims PaymentAMA, June 20, 2011The overall rate of inaccurate claims payments increased since last year among leading commercial health insurers, according to American Medical Association’s (AMA) fourth annual National Health Insurer Report Card. Claims-processing errors by health insurance companies waste billions of dollars and frustrate patients and physicians… Read More Some Insurers Doubt Medical Spending Will Bounce BackEmily Berry, Amednews, July 4, 2011Talking with analysts and investors during Goldman Sachs' investor conference June 7 and 8, health plan CEOs edged toward conceding that their members may be setting a "new normal" pace of spending… Read More CBO Projects Physician Pay Cut for 2012AAPC, July 1, 2011The Congressional Budget Office (CBO) projects that, under current law, payment rates for physician services provided to Medicare beneficiaries will be reduced by 29.4 percent in 2012. The large pay cut follows several years of legislative action to either maintain or increase physician payment rates… Read More Shared Savings, Payments Will Be Reality for Either Political AgendaMary Mosquera, Government Health IT, July 5, 2011Some form of shared savings and bundled payments will become a reality no matter if it looks like the current proposals of the Centers for Medicare and Medicaid Services (CMS) or a version that is developed for a Republican agenda because the current healthcare cost trends are unsustainable… Read More HIPAA 5010 Backup Plan Chant Grows LouderTom Sullivan, Government Health IT, July 5, 2011It’s no surprise that the state of the HIPAA 5010 transition is something of a mess. The potential for slowed or even stopped claims reimbursements is understood. And the inevitable ripple effects on health IT are not so clear. As the Jan. 1, 2012 compliance deadline approaches, should providers and the federal government devise contingency plans for HIPAA 5010... Read More CMS Rule to Streamline Data for Insurance Eligibility, Claim Status InquiriesMary Mosquera, Government Health IT, June 30, 2011The Centers for Medicare and Medicaid Services has released an interim final rule that describes the standard set of information for two electronic health transactions, one for inquiring about a patient’s insurance eligibility and the other on the status of a healthcare claim submitted to an insurer…Read More ACO Regs Expected to Soften A BitTom Sullivan, Government Health IT, June 29, 2011Every week, it seems, a new group lashes out against the proposed accountable care organization (ACO) regulations – perhaps in hopes that CMS will ease up on the 65 measures for qualifying as an ACO... Read More Small Practices: Adapting to SurviveVictoria Stagg Elliott, Amednews, June 27, 2011With more physicians choosing to join or sell to hospitals and larger practices, many wonder if the traditional physician practice is dying… Read More
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