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Providers affiliated with UCHealth University of Colorado Hospital and University of Colorado School of Medicine are no longer seeing patients with UnitedHealthcare Medicare Advantage plans, a UCHealth spokesperson said. Spokesperson Dan Weaver said in a statement that the providers made the decision because of UnitedHealthcare’s handling of medical claims. “Unfortunately, United Healthcare does not follow…
DetailsKaiser Permanente Colorado said Monday it has notified about 2,500 patients that it will no longer serve as a Medicaid provider in some areas of the state. Kaiser Permanente stopped providing health services as a Medicaid provider in its northern, southern and mountain service areas on June 30. It will continue providing care to Medicaid…
DetailsYesterday CMS released their CY 2019 physician fee schedule proposed rule, which includes major proposed changes to E&M coding. Below is my review of this component of their propose rule, including page references to the source in the federal register. We all know E&M coding has it flaws, and 1995/1997 guidelines could not have accounted…
DetailsAs the CMS charts a path to level pay for outpatient services, it’s also leading toward a head-to-head battle with powerful hospital lobbying groups as some providers win and lose with site-neutral payments. Check out the article, below, for more information! If the agency’s 2019 proposal to pay the same rate for services delivered at off-campus hospital…
DetailsHealth Care providers across the nation are nervously awaiting the future of the Title X funding under the Trump administration. Check out the article, below, for more information regarding the Title X funding and how it impacts populations everywhere. At the age of 17, Iliana Neumann was orphaned when her mother, a single mom working…
DetailsMajor changes are in store for the Merit-based Inventive Payment System (MIPS) in 2019, as the Trump administration pushes to reduce the record-keeping burden shouldered by clinicians. Continue reading, below, for why you should be prepared for these changes as soon as next year. In a slate of proposals released late last week, the Centers…
DetailsThe Centers for Medicare & Medicaid Services (CMS) hopes physicians would no longer have to predict how much longer a particular Medicare patient will need home care in order to have the service re-certified, according to a regulation they proposed Monday. “In an effort to make improvements to the health care delivery system and to reduce…
DetailsJoin us for an open house to gain more information about the changes that are coming to health care this summer. We will discuss the next phase of the Accountable Care Collaborative (ACC 2.0), Colorado’s innovative approach to improving the experience and outcomes of both physical and behavioral health care services for people who are…
DetailsFamiliarize yourself with the two designated tracks of MACRA — MIPS or APM, understand the potential financial upside and downside of MIPS participation & identify next steps within your practice to comply with these regulations with this helpful Webinar provided by RT Welter!
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