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2024 MIPS Changes and Their Impact on Emergency Medicine
- The Merit-Based Incentive Payment System (MIPS) is a mandatory quality payment system for clinicians who receive Medicare Part B payments unless they qualify for an exception or are part of an alternative payment model (APM). More than 655,000 eligible clinicians engaged with the MIPS program in 2021, according to the latest data from CMS. The...
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New Reality of Medicare Physician Payments, Future with MIPS
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was enacted by Congress to address issues related to physician payments under Medicare. The primary goal of MACRA was to move away from...Sponsored by Brault Practice Solutions
How the 2023 Physician Fee Schedule Impacts Emergency Medicine Groups
UPDATED 01/04/2022 CMS released its 2023 update of the Medicare physician fee schedule (MPFS), which impacts Medicare Part B payments for emergency services, diagnostic testing, and other...Sponsored by Brault Practice Solutions
Unpacking the No Surprises Act, Its Impact on Emergency Medicine
The federal No Surprises Act (NSA) went into effect on January 1, 2022, to protect patients from surprise medical bills. Specifically, those that may result from out-of-network (OON)...Sponsored by Brault Practice Solutions
Observation Care CPT Updates to Impact Emergency Physician Reimbursement
The American Medical Association (AMA) has released new CPT guidelines for patients in Observation status, including some that may significantly impact emergency physician reimbursement. These updates...Sponsored by Brault
How Hospitals, EDs Effectively Code Social Determinants of Health
In 2021, the Centers for Medicare & Medicaid Services (CMS) issued guidance to emphasize the importance of social, economic, and environmental factors that can affect the health outcomes of...Sponsored by Brault
Preventing Medical Necessity Denials With Clinical Documentation
Healthcare coverage has never been more important, one of the many lessons we’ve learned during the COVID-19 pandemic. And private insurance companies have reaped the benefit of this growing need...Sponsored by Brault
2022 Claims Reimbursement Updates in Emergency Medicine
Emergency department providers are still reeling from the effects of the ongoing pandemic. But other important updates are also happening in the background—and they are likely to impact emergency...Sponsored by Brault
Impact of Future Medicare Cuts on Physician Reimbursement
Medicare is a federal health insurance program that serves seniors and people with disabilities. The program helps to pay for a variety of healthcare services, including hospitalizations, physician...Sponsored by Brault
Escalating Risk, Reward of the Merit-Based Incentive Payment System
MIPS is a sub-program under the CMS Quality Payment Program (QPP), which is designed to support the transition from fee-for-service federal payments into value or quality-based payments. The program...Sponsored by Brault
Policy, Regulation Shaping Emergency Medicine Reimbursement
More volatility is expected in emergency medicine reimbursement as new laws and programs come into effect, and federal budget cuts occur. Rulemaking process will define the rules and legal framework...Sponsored by Brault
Understanding 2021 Changes in Emergency Medicine Reimbursement
Emergency medicine groups face several changes this year, including a new federal ban on surprise medical billing, updates to the Medicare reimbursement formula, changes to the CMS MIPS program, and...Sponsored by Brault
3 Revenue Cycle Management Strategies for EDs in a Time of Crisis
At the start of the year, emergency departments (EDs) across the country began to prepare for an expected surge of patients infected with COVID-19, altering revenue cycle management and operational...Sponsored by Brault
Emergency Medicine’s Ongoing Battle for Equitable Reimbursement
Emergency medicine is vastly different from most other healthcare specialties, especially when you consider the payer mix and reimbursement process that has helped shape the business model. As...Sponsored by Brault
