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Practice Management

Reimbursement

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In Settling Fraud Case, N.Y. Medicare Advantage Insurer, CEO Will Pay Up to $100M

It's one of the first to accuse a data mining firm of helping a health plan overcharge

4 Hrs Ago
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Congress Ditched Fix to Medicare Doc Pay Cut in Skinny Budget Bill

One warns of "dangerous game" in continuing Medicare pay cuts

Dec 23, 2024
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Health Spending Up 7.5% in 2023, CMS Says

Spending reached $4.9 trillion, with spending on physician and clinical services up 7.4%

Dec 18, 2024
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Congress Agrees on Tentative Budget Deal; Mostly Reverses Docs' Medicare Pay Cut

Agreement would reduce a 2.8% cut to 0.3%, but doesn't include prior authorization reform

Dec 18, 2024
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MedPAC Members Supportive of Upping Medicare Pay Rates Close to the Inflation Rate

Proposed recommendation would give extra pay bump to providers serving low-income beneficiaries

Dec 12, 2024
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Should Hospitals Be Paid the Same as Doctors' Offices for the Same Service?

"Site-neutral" payment in Medicare is gaining traction in the halls of Congress

Dec 12, 2024
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State 'Gold Card' Laws Sound Good -- But Are They Working?

A Texas law to exempt providers from prior authorization hasn't worked out as hoped

Dec 10, 2024
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Health Prices Are Getting More Transparent, but It's Still Not Enough, Experts Say

Price data need to be specific, searchable, and easy, according to one expert

Nov 20, 2024
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Opinion
The Trouble With Upcoding Extends Far Beyond Ethics

The practice reminds us that our healthcare system is failing patients and clinicians alike

Nov 11, 2024
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Paying Docs for Prior Authorizations Among the Hot Topics at the AMA Meeting

Delegates also mulled resolutions on pediatric hospital closures, public health misinformation

Nov 10, 2024
AMA over a photo of Walt Disney World Swan and Dolphin Resort in Orlando, FL.
Fixing Medicare Cuts, Reforming Prior Auth Among AMA's Top Priorities, Says AMA Prez

Bruce Scott, MD, also touches on scope-of-practice issues in speech to House of Delegates

Nov 09, 2024
AMA over a photo of Walt Disney World Swan and Dolphin Resort in Orlando, FL.
Does the AMA Need to Right-Size Its House of Delegates?

Departing CEO James Madara, MD, suggests the group's governing body might be getting too large

Nov 09, 2024
AMA over a photo of Walt Disney World Swan and Dolphin Resort in Orlando, FL.
Doc Groups Blast 2.8% Cut in Medicare Physician Fee Schedule Final Rule

But extension of telehealth flexibilities and a change to primary care payment draw praise

Nov 04, 2024
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Opinion
How Physicians Can Unionize and Strike With Compassion

It's important to consider the impact on patient care

Nov 02, 2024
A photo of longshoremen on strike outside of Red Hook Terminal in Brooklyn, New York.
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