A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
News|Videos|March 13, 2024
Congress and health care: Potentially massive Medicare fraud
Author(s)Richard Payerchin
Rep. Greg Murphy, MD, offers a physician’s perspective on health care and Washington, D.C.
Advertisement
In March 2024, the GOP Doctors Caucus were co-signers of a letter demanding investigation of up to $3 billion in fraud committed against the U.S. Centers for Medicare & Medicaid Services. Rep. Greg Murphy, MD (R-North Carolina) is co-chair of that caucus and he explains the situation.
Newsletter
Stay informed with the Medical Economics eNewsletter, delivering expert insights, financial strategies, practice management tips, and technology trends tailored for today’s physicians.
SubscribeAdvertisement
Related to this article
The proposal from Rep. Frank Pallone Jr. would end independent dispute resolution for care delivered starting in 2028.
The CMS-0057 rule regulates health plans. The question that matters is: Which of your payers will be live in your EHR on Jan. 1?
It's shared savings season and the check has arrived. Now how do physicians divide it up fairly?
Coding scrutiny, payment gaps and a push for price caps show up across Trilliant Health's annual look at where U.S. health care is headed.
Trilliant Health's annual trends report traces primary care shortages, payment gaps and looming price caps to incentives no single stakeholder has reason to fix.
Lower pay for telehealth, direct billing for NPs and PAs come up for discussion.
As physicians, payers and independent reviewers all adopt AI for utilization review and No Surprises Act disputes, audit trails and human oversight will determine which practices come out ahead.
Advertisement
Advertisement