Physician Reimbursement

98% of Eligible Clinicians Avoided a MIPS Penalty in 2018

by Jacqueline LaPointe

About 98 percent of eligible clinicians avoided a penalty under the Merit-Based Incentive Payment System (MIPS) in 2018, and almost all of these clinicians earned a positive payment adjustment, CMS...

Providers Must Act Today to Receive Additional Coronavirus Relief

by Jacqueline LaPointe

Providers need to take action by today to be eligible for additional coronavirus relief payments, HHS warned on its website. For more coronavirus updates, visit our resource page, updated twice...

OIG to Audit $50B in Coronavirus Relief Funds Given to Providers

by Jacqueline LaPointe

The Office of the Inspector General (OIG) at HHS recently announced that it will audit the distribution of $50 billion in coronavirus relief funds to hospitals and other eligible healthcare...

Small Practices Benefit Less from Medicare’s Care Management Codes

by Jacqueline LaPointe

CMS added two care management codes to the Medicare Physician Fee Schedule to better support primary care practices, but a study from Harvard University suggests that the codes may not be working as...

How COVID-19 Imperiled Physician Practices, And How to Save Them

by Jacqueline LaPointe

Some have heard the ringing of the death knell for physician practices for years now. Mergers and acquisitions, industry consolidation, value-based care, and the growing presence of private equity firms in healthcare have all threatened...

Medical Groups Slam CMS For Suspending Advance Payment Program

by Jacqueline LaPointe

The American Medical Group Association (AMGA) is calling on CMS to reverse its decision to end the Advance Payment Program (APP) for the remainder of the COVID-19 crisis. For more coronavirus...

21% of Physicians Furloughed, Had Pay Cut During COVID-19 Crisis

by Jacqueline LaPointe

Furloughs and pay cuts are just two ways the COVID-19 crisis has changed the physician’s role, according to a new survey from Merritt Hawkins and the Physicians Foundation. For more coronavirus...

CMS Ends Advance Payments for Physicians, Other Part B Providers

by Jacqueline LaPointe

CMS recently announced that it has suspended the Advance Payment Program for physicians, non-physician practitioners, and other qualifying Medicare Part B suppliers during the COVID-19 pandemic. For...

20% of Primary Care Practices Anticipate Closing in a Month

by Jacqueline LaPointe

Primary care practices are facing significant financial challenges as a result of the COVID-19 pandemic, leaving 20 percent of practices without the resources they need to remain open beyond the next...

Clinicians to Earn MIPS Credit for Joining COVID-19 Clinical Trial

by Jacqueline LaPointe

Clinicians earning value-based reimbursement through the Merit-Based Incentive Payment System (MIPS) will be able to earn credit for participating in and reporting information on COVID-19 clinical...

Physician Practice Revenue Cut in Half Due to COVID-19 Crisis

by Jacqueline LaPointe

An overwhelming majority (97 percent) of physician practices have experienced a negative financial impact directly or indirectly related to COVID-19, with most seeing physician practice revenue and...

CMS Pays Out $34B in Advance Medicare Reimbursement to Providers

by Jacqueline LaPointe

UPDATED 04/04/2020: CMS has now approved over $51 billion in accelerated and advance Medicare reimbursement for providers, according to a news alert emailed to journalists on April 9. In a...

MedPAC Suggests No Medicare Payment Increase for Physicians

by Jacqueline LaPointe

The Medicare Payment Advisory Commission (MedPAC) is recommending no fee-for-service Medicare payment update for physicians and other healthcare professionals in 2021, citing good access to care for...

Paving the Path to Success: Teaching Doctors Value-Based Care

by Jacqueline LaPointe

The way physicians have historically provided care – and gotten paid for it – is not working for most industry stakeholders. Smartphones, telehealth, and other innovative technologies are...

American College of Physicians Endorses Single-Payer System

by Jacqueline LaPointe

The second-largest physician group in the US recently recommended the implementation of a single-payer system or public option to achieve universal coverage. According to a policy plan released on...

MedPAC Recommends 3.3% Hospital Payment Boost, No Change for Docs

by Jacqueline LaPointe

The Medicare Payment Advisory Commission (MedPAC) voted unanimously last week to recommend higher hospital payment rates to Congress later this year. The group tasked with advising Congress on issuing...

Physician Compensation Programs Move Toward Value-Based Pay

by Samantha McGrail

The prominence of value-based incentives in physician compensation programs increased by five to seven percent from 2018 to 2019 across four major specialty categories, according to a SullivanCotter...

Sutter Health Pays $46M to Settle Stark Law Violation Claims

by Samantha McGrail

Sutter Health and Sacramento Cardiovascular Surgeons Medical Group Inc. (Sac Cardio) they reached a settlement with the Department of Justice to resolve allegations that they violated the Stark Law and...

Docs Getting Gifts from Drug Companies Prescribed More Opioids

by Jacqueline LaPointe

Gifts from pharmaceutical companies that sold opioid medications led to more opioid prescriptions in the year following gift receipt, a new study from the University of Pittsburgh Graduate School of...