The healthcare burden of administering sleep studies is substantial, although the annual cost is declining.
How to Bill Medicare for Non-Covered Services
While you can bill patients directly for non-covered services, there are certain requirements that you must satisfy first
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HHS Network to Facilitate Transition to Alternative Payment Models
A newly formed network will help providers, payers, employers, states, consumer groups, and others partner with the federal government to more quickly implement alternative payment models for the healthcare delivery
Proposed Legislation Could Speed Up Audit Process, Increase Transparency
Many physicians are hailing a Congressional proposal to streamline the audit process of the CMS as a good step forward
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Alternative Payment Model Promises More Penalty Than Pay
Under the MIPS, Medicare reimbursement for physicians will be a function of quality determined by the so-called Value-Based Payment Modifier (VBM) and the Physician Quality Reporting System (PQRS)
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Medicare Reform Legislation Repeals SGR, Consolidates Incentive Programs
Bill expected to stabilize Medicare physician reimbursement, streamline pay-for-performance programs, simplify quality reporting process
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Increased Medicare Funding Not Necessary for Graduate Medical Education
Institute of Medicine recommends same level of financial support for 10 years; physicians concerned amount won’t sustain residency training
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Medicare Approves New Measure Groups in PQRS for Otolaryngology
Individual measures added for adult sinusitis, acute otitis externa will help otolaryngologists participate in Physician Quality Reporting System
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Medicare’s Open Payments Database Brings Transparency, Controversy
Releasing data on financial transactions between for-profit companies and physicians to the public raises concerns
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Medicare Payment Data Release Concerns Some Otolaryngologists
Without way to refine data or validate its accuracy, physicians concerned misperceptions could impact doctor–patient relationships
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