The Centers for Medicare and Medicaid Services recently released its 2012 physician payment data to the public. Medicare paid out more than $76 billion in that year, and the report was broken down by specialty. Many practices will look at this data to find a benchmark regarding their own Medicare reimbursement payments. Some specialties receive remarkably high rates of reimbursement from Medicare, which can in part be explained by the extensive care these practices are likely to provide and the risk involved in the procedures they perform.
The Centers for Medicare & Medicaid Services (CMS) announced it will suspend additional documentation requests (ADRs) for Medicare recovery audit contractors (RAC) until it procures new RAC contracts, according to Bloomberg BNA. CMS has also suspended ADRs made by Medicare Administrative Contractors (MAC) participating in the RAC prepayment review demonstration pilot as of Feb. 28.
Healthcare providers will find themselves encountering questions and issues from new patients who are insured under the Affordable Care Act (ACA) in 2014. According to Reuters, more than 2 million people have enrolled for coverage through the HealthCare.gov online portal since October 2013. Many of them will have concerns and confusion related to being insured.
Healthcare spending grew only 3.7 percent in 2012 to a level of $2.8 trillion. The federal government, having calculated the four-year growth rate anew with this data, called the growth in the past four years the "slowest rates ever recorded in the 53-year history of the National Health Expenditure Accounts," according to UPI.
In 2014, physician practices will handle a large number of patients. Here are some tips on how to do so most effectively.
The American Taxpayer Relief Act of 2012 was signed by President Obama on January 2, 2013 and provides for a zero percent update for the 2013 Medicare Physician Fee Schedule (MPFS) for claims with dates of service from January 1, 2013 to December 31, 2013. The 2013 conversion factor remains at $34.0230 per RVU.