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01/05/2015
Here are Part B News’ predictions for the new year, with input from industry experts and more than 110 readers.
01/05/2015
Part B News hit the target on some predictions but missed on others. Here are the results from the forecasts we made in 2014.
01/05/2015
Acquisition experts agreed a slight downturn in buying activity will occur in the new year, though regional markets may vary, new kinds of buyers will emerge and certain types of practices — for example, primary care practices — have great chances for getting picked up.
01/05/2015
Almost 35% of practices with more than 20 physicians will attest to stage 2 meaningful use for 2014 and plan to achieve the same requirements in the new year. That number is lower — 30.9% — for practices with 20 or fewer physicians, according to 114 respondents to Part B News’ 2015 predictions survey.
01/05/2015
by: DecisionHealth Staff
Don't use the pricing files you pulled from your Medicare administrative contractor (MAC) at the end of the year and prepare for a hold on claims. Thanks to last-minute revisions to the 2015 conversion factor and relative value units (RVUs), MACs will hold your claims for the first 14 days of 2015 and you may not know the fees for your services until Jan. 20 at the latest.
12/30/2014
Here are the 2015 Medicare national allowable fees (not adjusted for locality) for 2015, based on revised RVUs and conversion factor released by CMS on Dec. 30, 2014. 
 
 
12/22/2014

Watch your mailbox: CMS will be notifying providers by letter that they are subject to a 1% pay cut in 2015 for not attesting to meaningful use for 2013.

Beginning Jan. 1, the roughly quarter-million eligible providers who failed to attest to meaningful use by the reporting deadline of Oct. 3, 2014, will see a reduction in Medicare reimbursement for the duration of the 2015 calendar year. The penalty for providers is scheduled to increase by a rate of 1% in subsequent calendar years – to 2% in 2016, 3% in 2017, 4% in 2018 and 5% in 2019 – unless the eligible professionals attest, CMS states.

The 257,000 providers facing the Medicare payment adjustment are likely a mix of providers that have never attested and those who have attested in previous years but, for one reason or another, decided not to attest in 2013, says Todd Searls, executive director, Wide River LLC, Lincoln, Neb. While federal incentives have helped mitigate the cost of implementing an electronic health record, those incentives have grown smaller every year since 2012.

Providers must attest to meaningful use every year to avoid the payment penalty. If, by oversight or error, you receive a letter signaling a pay cut, CMS offers a reconsideration application, which must be submitted no later than Feb. 28, 2015, for review. Go here to learn more: http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html.  

12/22/2014

Recent shifts in Medicare payment policy have created multiple avenues for primary care providers to get paid for monitoring services or other activities that occur outside of a face-to-face encounter.

12/22/2014

If you haven’t yet attested for meaningful use, you’ll face a 1% payment adjustment in 2015 – yet the penalty might be less costly than investing in an electronic health record (EHR) system.  To figure out what makes sense for your practice, assess the impact on your bottom line.

12/22/2014

A calculation showing how meaningful use penalties will hurt your practice may persuade your providers to buy an electronic health record (EHR) system. Here are five tips to start that process.

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