Industry News

On December 18, 2019, The Fifth U.S. Circuit Court of Appeals ruled that the Affordable Care Act’s (ACA) individual mandate is unconstitutional and the case

According to the AMA’s most recent Economic Impact Study, physicians create far more overall economic output than the legal services industry, nursing homes, higher education

Merit-Based Incentive Payment System (MIPS) carries on. As the 2019 Performance Year comes to a close, a few important dates: The submission window opens January

In mid-December, the Centers for Medicare and Medicaid Services (CMS) released their federal exchange enrollment update that confirmed 8.3 million people enrolled under the Affordable

In response to the Covid-19 pandemic and rising need for social distancing, shelter-in-place orders and general caution, government and commercial payers have loosened restrictions on

Physician participation in accountable care organizations (ACOs) reached a milestone in 2018. More than half of physicians reported their practice was part of an ACO,

Clinicians who are enrolled in Medicare are required to participate in the Merit-based Incentive Payment System (MIPS). Under MIPS, performance on four (4) components determines

According to the AMA’s 2019 update of “Competition in Health Insurance: A Comprehensive Study of U.S. Markets.”, Americans in three-quarters of commercial health insurance markets have

As a reminder, starting January 1, 2020, you MUST submit claims using MBIs (Medicare Beneficiary Identifiers) – no matter what date you performed the service.