Reimbursement Archive

The Shifting Out-of-Network Reimbursement Playing Field

Recent lawsuits and industry changes have dramatically altered the out-of-network reimbursement ‘playing field.’ Additionally, pending litigation is aimed at further redefining certain aspects of the body of law that governs out-of-network reimbursement. It’s important that healthcare providers understand the new ‘rules of the game.’ In an effort to shed light on these changes, upcoming blogs

E-Prescribing Developments and Considerations – Part V

Many providers have asked for information regarding the application process for participating in E-Prescribing. In fact, there is not a formal, onetime application. However, a provider (or practice, as the case may be) will not be entitled to a bonus unless he or she consistently represents – in the context of claim submission – that

E-Prescribing Developments and Considerations – Part IV

As previously discussed, there are three main requirements for earning a Medicare E-Prescribing bonus. During the prior blog we considered the first requirement, i.e., the use of a “qualified” E-prescribing system. Today, we will address the second of the three requirements. In order to qualify for a Medicare bonus, at least 10% of a provider’s

E-Prescribing Developments and Considerations – Part III

There are three primary requirements for earning a Medicare E-Prescribing bonus. Today, we will address the first of the three requirements, which is the consistent usage of a “qualified” E-Prescribing system. A qualified E-Prescribing system is one that: 1. Generates a complete medication list; 2. Allows the prescriber to select medications, transmit prescriptions electronically using the

E-Prescribing Developments and Considerations – Part II

One of the primary reasons for the current swell in interest in E-Prescribing is Medicare’s 2009 bonus. Section 132 of the Medicare Improvements for Patients and Providers Act of 2008 (“MIPPA”) (followed by the Medicare Physician Fee Schedule for calendar year 2009) creates a bonus for providers who are successful E-Prescribers during 2009. The 2009

E-Prescribing Developments and Considerations – Part I

With increasing frequency, healthcare providers are giving serious consideration to the adoption and implementation of an E-Prescribing system. Some of the most often cited reasons include the following: enhancing quality of care, increasing practice efficiency, reducing medical malpractice liability (and premiums) and qualifying for governmental and commercial payer incentives. The following is noteworthy: An E-Prescribing

MTBC to Sponsor Free Webinar Regarding E-Prescribing

The CMS bonus deadline for implementing electronic prescribing technology is quickly approaching. Is your practice prepared to meet the looming deadline? Many providers may be startled by the following statistics: According to a recent study, electronic prescribers spend 50% less time on refills/renewals. Approximately 7,000 Americans die each year from preventable medication errors. In 2009,

Earning Additional Practice Revenue as a Civil Surgeon: Part III

Our last two blogs considered the nature of USCIS’ civil surgeon program and the process of applying to become a civil surgeon. Today, we will conclude our consideration of the civil surgeon program by discussing the responsibilities of a civil surgeon. USCIS has charged the Department of Health and Human Services, Centers for Disease Control

Earning Additional Practice Revenue as a Civil Surgeon: Part II

During our most recent blog, we considered the general nature of USCIS’ civil surgeon program. Today, we will discuss the process of applying to become a civil surgeon. A physician applies for inclusion in the civil surgeon program by sending a letter requesting inclusion to the relevant USCIS District Director. Click here to determine the

Seeking New Revenue Streams: Some Physicians Begin to Offer Immigration Examinations

As governmental and commercial insurance reimbursements continue to decline, physicians are increasingly seeking out new revenue streams. One such source of new revenue for some practices is the U.S. Citizenship and Immigration Services’ (“USCIS”) civil surgeon program. In response to a recent question from an internal medicine practice, I would like to take some time