The Medicaid recovery Audit program is due to get implemented nationwide in January, carrying on in a similar vein as Medicare RAC program, as announced by CMS on 14th September, 2011. The Medicare RAC had recovered $451.3 million in overpayments and corrected $78.5 million in underpayment within six months in 2011. The Dept. of Health […]
“Proactively realizing the need for preparing to face up to these challenges, many professional medical billing companies have taken up upgrading their system and human capabilities to the probable demands emanating from healthcare reforms”. A string of healthcare reforms announced by the Federal Government over a year or so have changed the landscape of the […]
The major challenges faced by physicians who run a small practice or clinics that have less than four or five physicians are expanding exponentially. Many physicians find themselves worrying and spending time on administrative processes and interacting with payers rather than spending some quality time with their patients. The recent health reforms including the HITECH […]
A Brief Anatomy of Financial Challenges Faced by Physicians The US healthcare system is facing major reforms in the next two years and this not only includes adoption of new healthcare IT reforms such as EHR (Electronic Health Records) and EMR (Electronic Medical Records) but also changes in the way physicians are reimbursed. The most […]
As if the imminent repercussions of Debt ceiling and Sustainable Growth Rate Problem are not enough, physicians across United States are in for an additional dose of disciplining by the Federal Health body, in terms of penalties – both civil as well as criminal penalties – for either negligent or willful defiance of reforms and […]
Baby boomers are usually believed to be people born during the post-World War II birth rate boom, lasting from 1946 through 1964. According to a survey conducted by the CDC (Center for disease control), many elderly people started flooding doctors’ offices even ten years ago in 2001. Now since the latest health care reforms would […]
The recent healthcare reforms proposed by the white house may affect the revenue as well as the quality of the service provided by physicians in the United States. According to a recent survey by Thomson Reuters, almost two-third of doctors in the US fear that health care reforms proposed by Mr. Obama might flood their […]
The physicians’ proposed fee schedule issued by the Centers for Medicare & Medicaid Services (CMS) for 2012 includes approximately 30% payment reduction in Medicare payments. If the proposed Medicare cuts become a reality, it may result in the primary care physicians, both government employed as well as private physicians, withdrawing from Medicare, as it is […]
Health care fraud and abuse is an important and conspicuous factor in the resource and finance drain in the US healthcare system and is responsible, to an extent, for the escalating healthcare costs. According to a report by Thomson Reuters on US healthcare spending, the US healthcare system wastes between $505 billion and $850 billion […]
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