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Reimbursement

Caring for the Sickest Patients: A Calling and an Opportunity

New models are disrupting the way primary care is provided

Radiologists Reconsider Their Divided Specialty

As IRs, DRs converge in hospital settings, can they -- should they -- stay independent?

Going Generic OK for Clopidogrel

Non-inferiority achieved for ACS survivors in Canadian study

Praluent Price to Drop for Insurers That Ease Rx Restrictions

Sanofi/Regeneron announced plan to bring PCSK9 drug within cost-effective range

Backlash Over Nixing of CMS Add-On Payments for DCBs

Superiority of drug-coated balloon angioplasty not reflected in reimbursement, group suggests

Making Referrals Has Become a Nightmare

And too often it's to serve insurers, not patients

Tool Available to Help Rheumatologists Cope with MIPS

Eases reporting needed to avoid penalties, earn incentive payments under MACRA

Telehealth Advocates Push for Expanded Use

Several pending bills would encourage more use of the technology

MIPS Takes a Beating at MedPAC

Medicare advisory panel says it needs to go

Morning Break: Antibiotics Running Out; Teen Sex Interest Drops; Children Drive to OR

Health news and commentary from around the Web gathered by the 麻豆传媒 staff

Candidates for AAFP Presidency State Their Cases

See burnout, regulatory burden and family physicians' value as key issues

AMA, I Hardly Knew Ye

Group's annual meeting folds its tent, but that tent has really changed

Morning Break: Tainted Trials; $40K/Yr Concierge Practice; Reality TV: Diabetes

Health news and commentary from around the Web gathered by the 麻豆传媒 staff

What PAs Need to Know About MACRA

Expert details benefits, challenges of new reimbursement system

Physician Survey: $91K Pay Gap for Women Docs

Dinged for spending more time with patients?

Fear and Loathing on the MACRA Trail

Congress guesses that recordkeeping effort will improve patient care

Orthopedic Surgeons Should Advocate More, Come Together

Says incoming president William Maloney, MD

A Surprising Place to Find Anti-Kickback Rules

Some aspects of EHRs, telemedicine might technically be illegal

Prior Authorization Still a 'Pain Point' for Providers

Multiple healthcare groups are working on the problem

CMS to Offer Billing Code for Heart Failure Specialists

Should eliminate denials for appearance of double-billing

Time to Divorce USPSTF Statements from Coverage Decisions?

First-dollar payment mandate has rob-Peter, pay-Paul consequence

How Do Doctors Spend Their Days?

The answer may shock you, says Roy Benaroch, MD

For Each Hour of Clinical Time, Docs Spend 2 on Desk Work

Time-and-motion study of 57 doctors in ambulatory settings

Medicaid Boom Turns to Bust for Tennessee Docs

Lack of certification triggers payback requirement

301 People Charged With $900 Million in False Medicare Billings

Largest sweep since government fraud team began in 2007

AMA Blasts Medicare Part B Drug Price Plan

Votes to ask CMS to withdraw proposal

The Perils of 'Affordable' Health Insurance Plans

What happens when patients need emergency care?

Medicare Pay Equity: How GPCI Kings and Queens Snared a Win

Rural pay rates don't go far in the not-so-big city

MitraClip Billing Checklist Released

Guide describes code modifiers and when to use them

Medicare Covers Watchman Device, Drops Some Proposed Limits

Agency apparently moved by objections to draft coverage decision

Registry Underway for Watchman CMS Coverage

But who to include and how to follow them are still fluid issues

Obesity Groups Say States Denying Bariatric Surgery Violate ACA

Discrimination complaint calls on HHS to require bariatric surgery coverage

Whistleblower Doctor Warns About Hospitals Hiring Physicians

Florida chain agrees to pay $70 million for "improper relationships"

Primary Care: Medicare's 'Wellness Visit' Money Goes Unclaimed

Launched with great fanfare, wellness codes leave docs frustrated

The Birth and Increasingly Troubled Life of Medicare

Fears of "socialized medicine" swept aside, but cost concerns eventually overtake program.

AMA Wants 2-Years of Grace for ICD-10 Errors

With time running out, AMA acts to protect physician payment

ICD-10: AMA Considers Grace Period to 'Save Docs'

No easy choices for AMA as it mulls next steps

Is Your Employer Making You Liable for False Claims?

A physician says her employer was upcoding her bills without her consent

Op-Ed: How to Rein In Out-of-Control Healthcare Costs

We all know the medical bill horror stories, but now we have to act on them.

Teamwork Cuts In-Hospital Observation Time

Lengths of stay cut substantially at one hospital chain.

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