Legal

Latest News



Hospitals across the United States are merging and purchasing physician practices at a faster clip than they have in decades. While some experts believe the pace of acquisition is not sustainable, the economic forces driving hospital consolidation is also driving up the cost. For employed physicians, that could mean employment trouble. For independent groups, it could signal opportunity.

When hospitals acquire independent medical practices, they will now often reclassify the practice as an outpatient facility. Doing so allows them, under Medicare rules, to add a separate facility charge to a patient’s bill.

AMA calls for ICD-10 delay

The costs to medical practices for implementing ICD-10 have been grossly underestimated, according to a recent study.

Congress has agreed on legislation to repeal the Sustainable Growth Rate (SGR) formula. But the changes not only affect physician reimbursements. The proposed legislation also overhauls current incentive programs, establishing the Merit-Based Incentive Payment System.

Like it or not, ICD-10-CM is coming in October, which means medical practices are going to have to code and document their physicians’ patient encounters with more detail and complexity, or they won’t get paid. To help physicians prepare, we highlight some examples of ICD-10-CM coding in action.

More doctors are using electronic health records, but the growth is faster in some states and practice sizes than others.

President Barack Obama skimmed the surface of the Affordable Care Act during his sixth State of the Union speech, while physicians, nurses, educators, and thought leaders in the healthcare industry weighed in on the country's challenges.