Physician Reimbursement

Average Physician Compensation Sees Modest Growth in 2018

by Jacqueline LaPointe

Physician compensations increased slightly over the past year, with the average annual income increasing from $294,000 in 2017 to $299,000 in 2018, according to most recent Medscape Physician...

72% of Clinicians See No Adjustment Under Value Modifier in 2018

by Jacqueline LaPointe

An overwhelming majority of clinicians who participated in the final year of the Value-Based Payment Modifier (Value Modifier) program will receive neutral payment adjustments in 2018, according to new...

How CMS Improves Primary Care Payments Through Codes, APMs

by Jacqueline LaPointe

New medical billing codes for non-face-to-face encounters and alternative payment models are trying to change the way Medicare reimburses for primary care, according to researchers at the Urban...

Physician Compensation at Non-Academic Hospitals Up to $123K More

by Jacqueline LaPointe

Physician compensation at non-academic hospital systems was almost $123,000 more than the amount paid to physicians in academic systems, a new Medical Group Management Association (MGMA) survey...

Provider Compensation Rises 2.9%, While Productivity Flattens

by Jacqueline LaPointe

Physicians experienced similar physician compensation increases in 2016 compared to last year, with median compensation rising by 2.9 percent after a 3.1 percent boost in 2015, the most recent AMGA...

The Difference Between Medicare and Medicaid Reimbursement

by Jacqueline LaPointe

Medicare and Medicaid are government healthcare programs that help individuals acquire coverage, but similarities between the programs more or less end there. Medicare and Medicaid reimbursement structures vary significantly by program and...

52% of Provider Compensation Bonuses Tied to RVUs, Not Quality

by Jacqueline LaPointe

Approximately 52 percent of provider compensation offers with a production bonus in 2017 based the additional pay on relative value units (RVUs), while just 39 percent used quality metrics, a recent...

Physician Compensation for Specialists 45.6% More than for PCPs

by Jacqueline LaPointe

According to a recent Medscape survey, physician compensation for specialists was 45.6 percent more than what primary care providers earned in the past year. The survey of over 19,200 physicians in 27...

FFS Compensation Linked to More Stroke Prevention Surgeries

by Jacqueline LaPointe

A new study in JAMA Surgery found that providers with fee-for-service compensation performed more carotid stenosis interventions on symptomatic and asymptomatic patients compared to providers...

AAFP: Primary Care Undervalued in Medicare Reimbursement

by Jacqueline LaPointe

CMS released updated physician fee schedule rates in November 2016, but the American Academy of Family Physicians (AAFP) recently contended that Medicare reimbursement rates for primary care providers...

86% Say Provider Compensation Tied to Fee-for-Service, Salary

by Jacqueline LaPointe

About 86 percent of primary care physicians and specialists reported that their provider compensation was still primarily under fee-for-service or salary arrangements, representing a modest increase from...

Driven by Specialists, Physician Compensation Rates Rise 3.1%

by Jacqueline LaPointe

Physician compensation has increased by 3.1 percent in 2015, according to a recent survey from the American Medical Group Association (AMGA). The rate represents a 0.3 percent increase from last...

New Primary Care Model Embraces Value-Based Reimbursement

by Jacqueline LaPointe

This week, CMS announced its largest multi-payer initiative to improve primary care and introduce new value-based reimbursement models. The Comprehensive Primary Care Plus (CPC+) model aims to help...

Payment Reform Strengthens Patient-Centered Medical Home

by Vera Gruessner

The health payer industry and the federal government including the Centers for Medicare & Medicaid Services (CMS) have positioned hospitals, clinics, and medical practices to adopt necessary...

How a Palliative Care Focus Eases Healthcare’s Cost Burdens

by Jacqueline DiChiara

As physicians across the country mull over their New Year’s resolutions this week, the overarching desire for a healthy revenue cycle will likely be a common theme. Physicians often struggled with...

3 Hard Reimbursement Questions Physicians Are Afraid to Ask

by Jacqueline DiChiara

Physicians sought answers to many pressing reimbursement questions this year. 2015 saw heightened anticipation of reimbursement delay and claims denials once ICD-10 kicked into gear, ongoing discussion...

Physicians List Top 5 Value-Based Payment Success Factors

by Jacqueline DiChiara

Physicians say lack of time is one of the leading obstacles they face regarding value-based care delivery, according to a study from the American Academy of Family Physicians (AAFP). One-third of...

Physicians Report 4 Factors of Value-Based Payment Success

by Jacqueline DiChiara

Are value-based payment models garnering favorable reviews or mere disdain from physicians? A new Value-Based Payment (VBP) Humana-funded study aims to answer this...

Why ICD-10 Denial is an Easy Electronic Health Record Fix

by Jacqueline DiChiara

Did Electronic Health Records (EHRs) save the healthcare industry from massive post-ICD-10 implementation claims denial? The healthcare industry will not have a confident grasp about tangible payment...

Pew Urges CMS to Consider Physician-Focused Payment Models

by Jacqueline DiChiara

Lack of financial reimbursement may be preventing physicians from initiating imperative end-of-life discussions about a patient’s definitive health desires and wishes. The Pew...