Over the past decade, the healthcare industry has gone through significant change. With value-based care, physicians are reimbursed based on quality rather than volume. The goal is to support patients at their highest possible level of wellness rather than wait to provide care until they get sick, which is often more complex and expensive.

The Court of Appeal has told a health plan, in effect, “not so fast” after the plan refused to consider a surgeon’s attempt to correct an initial coding error after an alleged emergency surgery.

As a CAP member, you can take advantage of the myriad no-cost or discounted practice management programs that leverage the buying power of your nearly 12,000 member-strong cooperative. 

The Centers for Medicare & Medicaid Services recently distributed the following notice about MIPS: The Centers for Medicare & Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in MIPS, the Merit-based Incentive Payment System.

The Centers for Medicare and Medicaid Services (CMS) has unveiled a proposal that would carry out a major overhaul of its payments for physicians. The proposed rules, released on April 27, stem from a mandate included in last year’s passage of the Medicare Access and CHIP Reauthorization Act (MACRA).