Industry Hot Buttons — MACRA / MIPS Update

Industry Hot Buttons- Medicare Advantage!

Medicare Advantage: You have probably heard some industry buzz about the recent investigations (and settlements) into risk adjustment fraud with several of the major insurers. United Health Group along with others, are accused of manipulating diagnosis codes to make patients appear to be sicker to achieve higher reimbursement outcomes via the Medicare Advantage program. Medicare Advantage allows providers…

Small Medical Practices Could Benefit From Newly Proposed QPP Rule

Small Medical Practices Could Benefit From Newly Proposed QPP Rule

Check out this article about how more small medical practices could benefit from and qualify for exclusions from the Quality Payment Program!  Small practices could add points to their total performance scores in the merit-based incentive payment system and may qualify for an exemption from EHR requirements. More small practices may qualify for exclusions from…

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Relationships

Most long term relationships are built on mutual trust and respect. Valuable relationships are not built on mistrust, fear or intimidation. Same holds true for the relationship your practice has with payers and especially payer representatives.