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MediGain Blog

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.