{"id":1638,"date":"2012-12-17T07:37:00","date_gmt":"2012-12-17T07:37:00","guid":{"rendered":"http:\/\/www.medicalbillersandcodersblog.com\/?p=1638"},"modified":"2026-05-11T11:21:03","modified_gmt":"2026-05-11T11:21:03","slug":"physicians-to-manage-revenues-amidst-the-impending-26-5-medicare-cut-with-a-medical-billing-service","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/physicians-to-manage-revenues-amidst-the-impending-26-5-medicare-cut-with-a-medical-billing-service\/","title":{"rendered":"Physicians to Manage Revenues amidst the Impending 26.5% Medicare Cut with a Medical Billing Service"},"content":{"rendered":"<p style=\"text-align: justify;\">Ever since Sustainable Growth Rate (SGR) began overshooting budgeted Medicare spend, physicians have been under the constant threat of Medicare cut. While Congress\u2019 intervention has delayed the inevitable thus far, it may be a little tougher this time \u2013 Centre for Medicare Services (CMS) has already indicated that its fee schedule for 2013 is designed to initiate 26.5% Medicare cut if the Congress fails to intervene before Jan. 1, 2013.<\/p>\n<p style=\"text-align: justify;\">While physicians may still be optimistic of a breakthrough in their favor, they still need to be prepared for any eventuality. And if 26.5 Medicare cut is indeed set in motion, it would have a debilitating effect on physicians\u2019 clinical and operational efficiency \u2013 practices may not be able to support operational expenditure, leave alone the thought of \u2018profit\u2019.<\/p>\n<p style=\"text-align: justify;\">Despite the looming fear, practices can still find ways to off-set the impact of Medicare cut \u2013 transition to new payment and delivery models will help meeting the primary objective of improving patient care as well as moving to a higher-performing Medicare program.<\/p>\n<p style=\"text-align: justify;\">Accountable Care Organization (ACO) is one such care model, which will increasingly become mandatory for care providers in the Medicare network. ACO requires physicians to form a clinical network that can achieve optimum clinical efficiency at minimum cost to patients. ACO works on the formula that a clinical network with A-Z medical services can considerably bring down patients\u2019 medical expenditure. While physicians in an ACO get to be recognized for high performance, they also stand to benefit from shared-savings. Moreover, being in an ACO is indeed helpful in building credibility among patients.<\/p>\n<p style=\"text-align: justify;\">The provision of Affordable Care will also help physicians counter the impact of Medicare cut. The significant thing about this reform is that it extends Medicare to every uninsured citizen in U.S. With roughly one-third of population expected to be Medicare beneficiaries, physicians can look forward to off-set Medicare cut with operational volumes from Affordable Care provision.<\/p>\n<p style=\"text-align: justify;\">But transiting to these novel care models may be seemingly difficult for physicians who have been used to protective health care models. Amongst possible challenges, understanding fee schedule, negotiating and renewing payer contracts, being conversant with multiple payer policies, and striking beneficial deal with payers will be more important. Moreover, a proper mix of public-private payers is more than advisable.<\/p>\n<p style=\"text-align: justify;\">And, amidst these Medicare-cut-generated challenges, mandatory EHR, PQRS, and ICD-10 &amp; HIPPA 5010 compliant coding too will add to the burden, which may be far too much to bear for physicians. With the in-house staff incapacitated to take responsibility of this enormity, <a href=\"https:\/\/www.medicalbillersandcoders.com\/medical-billing-outsourcing.aspx\"><strong>outsourced<\/strong> <strong>medical billing services<\/strong><\/a> seem to be the only way out.<\/p>\n<p style=\"text-align: justify;\"><a href=\"https:\/\/www.medicalbillersandcoders.com\/\">Medical billing companies<\/a> \u2013 with experience and competence in stage-managing transformation to high-performance Medicare models, managing mandatory EHR, PQRS, and ICD-10 &amp; HIPPA 5010 compliant coding on behalf of physicians who are essentially focused on clinical efficiency \u2013 could provide helping hand.<\/p>\n<p style=\"text-align: justify;\">Medicalbillersandcoders.com has time and again demonstrated its worth as being most reliable, flexible and transformation source for physicians\u2019 billing and operational issues. Over the years, we have successfully helped practices of varied sizes and disciplines ease through operational hurdles.<\/p>\n<p style=\"text-align: justify;\">And, at a time when physicians are confronted with the impending 26.5% Medicare cut, we are committed to help them counter the impact with alternative and profitable operational practices. Our broad-base of resources \u2013 comprising competent <a href=\"http:\/\/www.medicalbillersandcoders.com\">medical billing professionals<\/a>, who are conversant with dynamics of Medicare and other payer systems \u2013 essentially drives our mission across all the 50 states in U.S.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ever since Sustainable Growth Rate (SGR) began overshooting budgeted Medicare spend, physicians have been under the constant threat of Medicare cut. While Congress\u2019 intervention has delayed the inevitable thus far, it may be a little tougher this time \u2013 Centre for Medicare Services (CMS) has already indicated that its fee schedule for 2013 is designed [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[36,9,200,3511],"class_list":["post-1638","post","type-post","status-publish","format-standard","hentry","category-revenue-cycle-management","tag-aco","tag-medical-billing-companies","tag-medical-billing-professional","tag-medical-billing-services"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Physicians to Manage Revenues amidst the Impending 26.5% Medicare Cut with a Medical Billing Service - Medical Billing and RCM Blogs<\/title>\n<meta name=\"description\" content=\"Learn about Physicians to Manage Revenues amidst the Impending 26.5% Medicare Cut with a Medical Billing Service in our latest blog post. Medical Billing and RCM Blogs\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/physicians-to-manage-revenues-amidst-the-impending-26-5-medicare-cut-with-a-medical-billing-service\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Physicians to Manage Revenues amidst the Impending 26.5% Medicare Cut with a Medical Billing Service\" \/>\n<meta property=\"og:description\" content=\"Learn about Physicians to Manage Revenues amidst the Impending 26.5% Medicare Cut with a Medical Billing Service in our latest blog post. 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