Physician Payment and Reimbursement

Executive Summary: CMS 2018 PFS Proposed Rule

This document summarizes the 2018 Physician Fee Schedule proposed rule.

HFMA July 24, 2017

CY18 Updates to the Quality Payment Program Proposed Rule Summary

This document summarizes the CY18 updates to the Quality Payment Program proposed rule.

HFMA July 13, 2017

Executive Summary: CMS Quality Payment Program 2018 Proposed Rule

This document briefly summarizes the Quality Payment Program 2018 proposed rule published by CMS.

HFMA July 11, 2017

Part B Drugs Revisited—Yet Again

Payment and pricing for Medicare Part B drugs are subjects of much discussion again following the decision by CMS to withdraw its planned pilot projects for these drugs.

Gail R Wilensky, PhD June 20, 2017

Ensuring Proper Payments for Substance Abuse Services

Substance abuse treatment providers can maximize payments through contract negotiations and eligibility verification and precertification processes.

Divya Annasingh June 5, 2017

Why Direct Primary Care Works for Me

Primary care physician Jeffrey Gold, MD, describes why direct primary care is rewarding for him and his patients.

Jeffrey Gold June 2, 2017

Q&A: Exploring the Nuances of MACRA

Physician practices and other healthcare organizations should be aware of various nuances that will affect their performance in both the MIPS and advanced APM tracks of MACRA.

Nick Hut May 18, 2017

Health Systems Brace for MACRA

Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.

Rich Daly May 11, 2017

Four Strategies to Maximize Adult Immunization Quality and Financial Benefits

Jill Powelson describes how healthcare organizations can maximize revenue opportunities for immunizations.

Jill Powelson March 10, 2017

Sidebar: Small Physician Practices and the Merit-based Incentive Payment System (MIPS)

An example of financial modeling for a small physician practice is provided to illustrate possible effects of MACRA’s Merit-Based Payment System on such a practice.

John Harris, MBA January 9, 2017
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );