As Cabinet nominee Tom Price faces a Senate confirmation hearing Tuesday, a newly released trove of documents sheds further light on how he interacted as a congressman with the Centers for Medicare and Medicaid, the massive agency he may soon oversee.
Medical Billing Blog
Tom Price: HHS Pick Favored Drugmakers, Device Makers and Doctors
Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show
Six years ago, federal health officials were confident they could save taxpayers hundreds of millions of dollars annually by auditing private Medicare Advantage insurance plans that allegedly overcharged the government for medical services.
A recent change in the way Medicare pays for joint replacements is saving millions of dollars annually — and could save billions — without impacting patient care, a new studyhas found. But the man Donald Trump has picked to be the secretary of Health and Human Services has vocally opposed the new mandatory payment program and is likely to revoke it.
Use GT Modifier for Online Visits and Telemedicine Claims
On July 1, 2016, Blue Cross began extending services under telemedicine to include all codes specific to range of practice.
Submitted codes must have a GT modifier added. Modifier GT defines services given through interactive audio and video telecommunication systems.
Republicans Aim To Quickly Repeal Obamacare
Republicans in Congress say they'll vote to repeal much of the Affordable Care Act early next year — even though they don't yet have a plan to replace it.
CMS Publishes Final Rule for New Quality Payment Program
On October 14th, CMS released the Final Rule that implements the new Quality Payment Program (QPP) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MACRA repealed the unpopular Medicare Sustainable Growth Rate Formula (SGR) for determining updates to Medicare Part B revenue and replaced it with the new QPP called the Merit-based Incentive Payment System. HBMA submitted extensive comments to CMS on the proposed rule. Many of HBMA’s concerns were also raised by other organizations. CMS addressed most of those concerns in the final rule.
Testing Payment Reforms Could Offer Tool For GOP Ideas
Paul Ryan's Medicare Plan + Obamacare look very similiar
President-elect Donald Trump and House Speaker Paul Ryan agree that repealing the Affordable Care Act and replacing it with some other health insurance system is a top priority.
But they disagree on whether overhauling Medicare should be part of that plan. Medicare is the government-run health system for people age 65 and older and the disabled.
Trump said little about Medicare during his campaign, other than to promise that he wouldn't cut it.
A Guide to Medicare's New Rules on Doctor Pay
The federal government has issued final regulations that reform the way Medicare pays doctors. If the new rules achieve their intended goal, all Americans — and not just Medicare enrollees — could see improvements in the quality of their care.
Medical Billing Resources Inc Receives 2016 Best of Farmington Hills Award
FARMINGTON HILLS September 15, 2016 -- Medical Billing Resources Inc has been selected for the 2016 Best of Farmington Hills Award in the Medical Billing Consultants category by the Farmington Hills Award Program.