Check out this article, “I’m Getting Audited – Now What?” by attorney Stephen Bittinger, a partner and a member of the Health Care/FDA practice group, on Medicare audits. As a result of the dramatic increase in the use of Cellular Tissue...
Starting Sept. 1, Aetna will pay 75% of the contracted rate for surgical procedures performed in urgent care facilities or independent clinics with or without modifier 54, used to indicate surgical care, according to a recent health plan update. Aetna says the change...
An article in Healthcare Finance News reports that, “The global health care sector experienced a staggering 1,613 cyberattacks per week in the first three quarters of 2023, nearly four times the global average, and a significant increase from the same period the...
For the fifth year in a row, the 2025 CMS Medicare Physician Fee Schedule (MPFS) forecasts a reduction in the Medicare conversion factor used to calculate physician payments, which at $32.36 represents a 2.80% payment decrease compared with 2024. In 2024, physicians...
Someone emailed me a very interesting question about MIPS performance. By way of background, the Merit Based Incentive Payment System (MIPS) consists of 4 weighted categories which this year are: Quality (30% of score), Cost (30% of score), Improvement Activities (15%...
