Getting reimbursed properly for performing procedures is all in the details, especially in areas that can be confusing to code.
What If They Gave Universal Coverage and No Doctors Came?
The growing numbers of politicians and special interest and consumer groups pushing health insurance for all often neglect-and sometimes penalize-the people they need most for such plans to succeed: America’s physicians.
Reimbursement and Outcome Measurement in Otolaryngology Practices: What the Government Can Do to You and for You
Contrary to popular belief, CMS is in the business of paying for quality care, not just the volume of care provided.
Temporary Trial May Improve Compliance with CPAP
Continuous positive airway pressure (CPAP) is the standard first-line approach for moderate to severe obstructive sleep apnea.
Case Studies: Malpractice or Bad Outcome?
Pay for Performance: What’s Next?
Payers are convinced that compensating physicians and hospitals for meeting quality targets, also known as “pay for performance” (P4P), is an important step in bridging the quality chasm identified by the Institute of Medicine in 1999.
New Medicaid Changes in West Virginia and Kentucky May Affect Otolaryngology Practice
People of different political persuasions generally agree that the health care system in the United States is in deep trouble, but there is no consensus on how to fix it.
US Needs to Rethink Spending for Chronic Illnesses, Dartmouth Study Says
A new study from Dartmouth Medical School documents “staggering variations in how hospitals care for chronically ill elderly patients.” The study points to problems with quality and faults Medicare for unnecessary spending.
When Dealing with Insurers, Electronic Payment Tools May be an Otolaryngologist’s Best Friend
The business side of medical practice can sometimes be a bigger challenge than ferreting out a difficult diagnosis.
The ABCs of CPT Coding
Important aspects of coding and reimbursement for otolaryngologists-head and neck surgeons-including some controversial coding issues-were covered in the American Rhinologic Society (ARS)’s Patient Advocacy Panel here at the 2006 Combined Otolaryngology Spring Meetings (COSM).
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