Relative Value Units have been utilized to drive CMS reimbursement calculations since the early 1990’s. There are unique RVU values associated with each CPT billing code charged by a provider. Those values are defined for Practice RVU, Work RVU, and Malpractice RVU. These values are driven by a physician’s time, cost, and effort to provide
One of the more important and popular provisions of the Affordable Care Act is the expansion of access to certain recommended preventive care services – including flu shots – for patients at no additional charge to them. However, many health plans that existed on the day the ACA was enacted, March 23, 2010, known as
The summer is winding down and we are approaching flu season. Nevertheless, there is good news for patients and providers regarding the flu: The flu shot is now covered (with no corresponding patient responsibility) by more plans than ever before. First, as a quick reminder, Centers for Disease Control and Prevention (CDC) makes a general
Over the years as an administrator and consultant I have been regularly surprised by some of the methodologies used by physicians to assign a CPT code for a patient encounter. My favorite was a cardiologist from Ohio who always used a 99213 unless the patient had beat up shoes, in those cases he would give
A new study, from the University of California, Davis shows that patients prefer using the internet to obtain healthcare information over asking friends or using reference books.
Implementing Healthcare Technology solutions is not only a necessity for practices but also for patients.
Healthy feet are precious. They support the weight of the body and help you in walking and running. It is better to take care of your feet before someone else has to take care of you. A little foot problem can result in dangerous infections that can make you inactive and dependent. Our feet support
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
Several factors suggest that the old-fashioned practice is returning, thanks in part to an aging population and the many advances in healthcare technology. An Aging Population of baby boomers seems to be creating a growing need for physicians who make house calls. According to the Journal of the American Medical association, house calls to Medicare
As the General Assembly gathers in New York this September 19-20, 2011, at the United Nations, the first ever summit on non-communicable diseases (NCDs) will be held. The summit, officially called the “High-level Meeting of the United Nations General Assembly on the prevention and control of non-communicable diseases” will bring together global health leaders to