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Payment delays, write-offs triggered by insurance denials and increasing patient financial responsibility represent serious obstacles to the growth and survival of medical practices. Reimbursement cycle

A general warning to any practices that purchase drugs administered to patients and then bill the patients’ health insurance for reimbursement. We have recently seen

The 2019 Medicare Physician Fee Schedule goes into effect with service dates on and after January 1, 2019. The 2019 MPFS conversion factor is increasing

MultiPlan began sending notice of a contract amendment in December 2018 that will auto-enroll contracted practices with a third party service called Simplicity, effective March

United Healthcare initiated a national project as of September 1, 2018 in which all qualifying lab codes billed (with the QW modifier) are subject to

2019 represents the first year of MIPS payment adjustments (which tie back to 2017 performance data). Practices may see a positive or negative adjustment on

CMS has proposed changes to the 2018 Quality Payment Program (QPP) intended to reduce data entry and paperwork and increase the focus on patient care.

The new Medicare cards using the Medicare Beneficiary Identifier numbers have been active since April 2018 and all 60 million active beneficiaries will have the