How Physicians Can Fight Back Against Payer Downcoding Schemes

Physician practice revenue has significantly decreased due to the increasingly implemented health insurer downcoding programs. The AMA has provided resources for physicians to assist them in fighting back against these programs. Continue reading to learn more.  Payers have been wrongly cutting payments to physicians for evaluation-and-management (E/M) services—often automatically through the use of claim-editing algorithms.…

It’s Final: Physician Payments Take a Big Cut for 2023, Expect a Reduced Access to Care They Say

Due to conversion factor (CF) changes made by CMS, access to care may be reduced. These changes also negatively impact physician reimbursement. Continue reading to learn more about the proposed changes.  Ninety percent of medical practices reported that the payment cuts found in the 2023 Medicare physician fee schedule would reduce access to care, the…