In our ongoing series about MACRA and what to expect in 2017, there’s one more category of MIPS that we want to cover: the Cost (or Resource Use) category. Read on to learn more about the MIPS cost category and what it will mean for practitioners. The MIPS Cost Category: What It Is When CMS […]
MACRA begins January 2017, and chances are, you’ve heard a lot about it – and the accompanying MIPS. But MIPS is complicated, and in order to fully understand it, you’ve got to break it down into sections. Here, we’ll look at the MIPS Clinical Practice Improvement Activities category and find out what to expect in […]
You’ve heard a lot about MACRA and its impending January 2017 start date, and you’ve probably heard a lot about MIPS, too. But there’s a lot to know about MIPS, and it can seem overwhelming when you’re trying to run your practice and learn about new laws at the same time. Here, we’ll look at […]
The Merit-based Incentive Payment System (MIPS) is one pathway of upcoming MACRA’s Quality Payment Program. One of MIPS’ four components is the “quality” category, which ultimately comprises 50% of a provider’s MIPS score. But what is the MIPS quality category, and how does it work? Below, we’ll take a closer look at the MIPS quality […]
The Merit-based Incentive Payment System (MIPS) is one of two pathways in MACRA’s Quality Payment Program. Most anesthesia providers will be eligible for MIPS participation and will have their MIPS score calculated, as MIPS applies to all Medicare Part B physicians, physician assistants, nurse practitioners, and certified registered nurse anesthetists. Here, we’ll talk more about […]
Physicians spent years trying to get Congress to repeal the Sustainable Growth Rate (SGR) formula, which made adjustments to physician reimbursement based on shifts in Gross Domestic Product – and, over time, resulted in massive payment cuts to doctors. After a lot of patching and ho-humming about the situation, Congress finally repealed the SGR formula […]
For any practice, medical billing is a time-consuming, often confusing process with ample room for error and rules that change regularly. Here, we’ll look at three reasons medical billing is so difficult to keep up with. Reason #1: Ever-Changing Rules One of the main frustrations of medical billing is that the rules always seem to […]
Anesthesia billing can be hard to understand -- and even harder to keep up with. From revenue cycle management to coding, it’s almost inevitable that something will fall through the cracks (unless you hire a third-party company to handle it for you, of course). Here, we’ve broken down the anesthesia billing process into three components […]
The Federal False Claims Act places civil liability on practices that knowingly submit, or cause the submission of, a fraudulent or false claim. What could happen if your practice were found guilty of such an action? Keep reading to find out. Penalties Under the Federal False Claims Act Obviously, penalties abound for filing false or […]
It’s a more common issue than we realize: medical professionals are sometimes asked to provide anesthesia for a patient without any knowledge of that patient’s medical history or current physical condition. A thorough evaluation of the patient’s health history, current physical condition, and psychological state before administering anesthesia is a necessity. This has always been […]
