There has been a significant increase in high-intensity billing for emergency care services over the last decade, according to a new study published in Health Affairs.
The observational study of US...
UPDATED 11/02/2022: CMS has released the Calendar Year (CY) 2023 Physician Fee Schedule (PFS) final rule, which will reduce the conversion factor while expanding access to behavioral health and...
State surprise billing laws that allow arbitrators to consider provider charges when determining out-of-network payment amounts for surprise medical bills led to an increase in billed charges for...
Time-based billing was associated with higher physician reimbursement for longer evaluation and management (E/M) visits, while billing based on medical decision-making (MDM) led to higher reimbursement...
The American Medical Association (AMA) and other physician advocacy groups are calling on CMS to reverse proposed Medicare Physician Fee Schedule updates, which would slash Medicare payment for...
Facility-based scoring in the Merit-Based Incentive Payment System (MIPS) will not be available for the 2022 performance year after recent changes to the Hospital Value-Based Purchasing (VBP) Program,...
Physician starting salaries have rebounded from the first year of the COVID-19 pandemic, with orthopedic surgeons being offered the highest average starting salary of $565,000, according to a report...
CMS has proposed a decrease to the Medicare Physician Fee Schedule conversion factor, which would lead to significant cuts to physician reimbursement next year.
The federal agency released the...
Provider compensation and productivity increased in 2021, signaling a potential return to pre-pandemic levels, according to the American Medical Group Association’s (AMGA) Medical Group...
Medicare and its beneficiaries paid significantly higher prices at provider-based facilities than they would have paid to freestanding facilities for the same services, according to a report from the...
If healthcare practices eliminated indirect billing for nurse practitioner (NP) and physician assistant (PA) visits, it would have saved Medicare $194 million in 2018, according to a Health Affairs...
Physician practices are on the road to post-pandemic recovery in 2021, as physician compensation and productivity is rising again, the Medical Group Management Association (MGMA) recently...
California residents and health systems saw lower healthcare costs and higher clinical quality when providers and payers shared financial risk, according to data from the Integrated Healthcare...
The Medical Group Management Association (MGMA) has asked CMS to update the federal independent dispute resolution (IDR) portal to streamline the arbitration process for determining an out-of-network...
HHS has requested a hold on its recent appeal of a Texas federal court ruling regarding the interim final rule on surprise billing, according to reporting from the American College of Emergency...
CMS has updated its surprise billing guidance to require independent dispute resolution (IDR) entities to consider more than just the qualifying payment amount (QPA) when determining reimbursement...
Physician compensation increased in 2021, but gender and racial income gaps remained, with male and White physicians making more than women and physicians of color, according to Medscape’s 2022...
The American Hospital Association (AHA) and the American Medical Association (AMA) have asked the US District Court for the District of Columbia to vacate the independent dispute resolution (IDR)...
The median charge index for hospital evaluation and management (E/M) visits increased by 7 percent during the COVID-19 pandemic, according to a white paper from FAIR Health.
The FH Medical Price Index...
Following a recent Medicare Payment Advisory Commission (MedPAC) report, the American Medical Association (AMA) has asked Congress to update the Medicare physician payment system to include a stable...
