Primary care docs to get Medicaid pay boost
5/8/2012 – Primary care physicians would receive reimbursements for Medicaid equal to what Medicare pays in a two-year "fix" mandated by the health care law, HHS says in a
proposed rule.
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RACs target Lancaster physician office coding
4/10/2012 – Medicare’s Recovery Audit Contractors (RACs) are looking at your in-office claims and are recouping reimbursement if they don’t like how your services have been coded. In fact, LG Health has received 48 RAC requests for physician records for dates of service April 2008 to December 2010.
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Majority of new ACOs are physician-led organizations
4/8/2012 – Twenty seven health systems have been selected to participate in Medicare’s Shared Savings Program, known as “accountable care organizations (ACO).”
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ICD-10 gets 2014 deadline
4/7/2012 – The timeline for healthcare organizations to convert to the ICD-10 coding system will likely be delayed one year--to Oct. 1, 2014
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Your claims on the “RAC”
3/20/2012 – If you haven’t heard the term “Recovery Audit Contractor” or RAC, that will likely change soon.
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Health Reform hits Main Street
2/1/2012 –
Confused about how the new health reform law really works? This short, animated movie produced by the Henry J. Kaiser Family Foundation explains the problems with the current health care system, the changes that are happening now, and the big changes coming in 2014.
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PA to run its own health exchange
1/17/2012 – Pennsylvania will be running its own health insurance exchange, once the Affordable Care Act allows for the creation of the exchanges in 2014.
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CMS to withhold payments until Jan. 17 if doc fix fails
12/20/2011 – CMS has notified providers that the Agency is taking precautions in case Congress fails to pass a doc fix this year, telling providers that the agency will withhold payments in 2012 until Jan. 17 — for the first 10 business days of the year.
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Schwartz Sends Super Committee Proposal To Reform Medicare Physician Payment Formula
11/16/2011 – Washington, D.C.—U.S. Rep. Allyson Schwartz sent the following letter today to the Joint Select Committee on Deficit Reduction requesting consideration of a proposal that repeals the flawed Sustainable Growth Rate (SGR) formula and sets out a clear path toward comprehensive reforms of Medicare payment and delivery systems.
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