News
CMS proposes improved E/M payments, additional price transparency for hospitals
July 29, 2019
The Medicare Outpatient Prospective Payment System proposed rule for the 2020 annual update would require hospitals to publish the negotiated price by specific payer for select services that patients can schedule in advance.
Article
E/M Coding Changes for 2023
December 13, 2022
The last time that evaluation and management (E/M) coding guidelines were significantly overhauled was in 1995 and 1997. To put that timeframe in context? Hospitalist was a term coined in a 1996 New...
News
Major insurers running billions of dollars behind on payments to hospitals and doctors
October 8, 2021
Substantial payment delays can be seen on Anthem’s books. On June 30, 2019, before the pandemic, 43% of the insurer’s medical bills for that quarter were unpaid, according to regulatory filings.
News
Medicare finalizes 2021 physician pay rule with E/M changes
December 3, 2020
“This finalized policy marks the most significant updates to E/M codes in 30 years, reducing burden on doctors imposed by the coding system and rewarding time spent evaluating and managing their patients’ care.”
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Opinion
Hospitalist Medicare payments are at risk for large cuts in 2021
- Ron Greeno, MD, FCCP, MHM
November 11, 2020
Medicare has proposed changes that would create unprecedented financial hardship for hospital medicine groups.
News
CMS hikes telephone visit payments during pandemic
May 1, 2020
Physician groups praised the move to increase payments for telephone visits.
News
CMS suspends advance payment program to clinicians for COVID-19 relief
April 28, 2020
On April 26, the agency said it will not accept new applications for the advanced Medicare payment, and it will be reevaluating all pending and new applications.
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News
New hypertension performance measures boost 130/80 mm Hg target
January 6, 2020
PHILADELPHIA – Hypertension performance and quality measures from the AHA and ACC provide a guide for implementing the 2017 hypertension guideline.
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News
CMS proposes site-neutral payments for hospital outpatient setting
July 26, 2018
Site-neutral payments could save the government – and patients – money on every visit.
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News
CMS considers expanding telemedicine payments
July 17, 2018
The proposed rule would pay doctors for an expanded number of telemedicine services and add payment for virtual check-ins by phone or other technologies.