To provide insight into the healthcare policy proposals that Americans may expect in the coming year, national non-profit Transamerica Center for Health Studies (TCHS) has compiled four of the most prominent proposed reforms or statements from President-elect Donald Trump and lawmakers, along with key implications for consumers and states. 1. President-elect Donald Trump's … [Read more...] about Affordable Care Act: 4 Ways It Could Change in 2017
Health care reform
Answering your questions about MACRA
Understanding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is vital because it changes how Medicare pays physicians for services as well as care delivery. It moves away from fee for service to value-based care. Not understanding the new policies, passed on October 14, 2016, will result in a penalty of negative 4 percentage! Those who work in the healthcare … [Read more...] about Answering your questions about MACRA
Survey: Healthcare professionals say Trump Administration will improve U.S. healthcare system
Aprima Medical Software, a provider of innovative electronic health records (EHR), practice management (PM) and revenue cycle management solutions (RCM) for medical practices, today announced the results of a post-presidential election survey of healthcare professionals, which explored predictions for healthcare under a Trump administration. The majority of the 312 physicians … [Read more...] about Survey: Healthcare professionals say Trump Administration will improve U.S. healthcare system
So, now what? How a Trump presidency will impact your office and the ACA
Needless to say, the election of Donald Trump will have major ramifications on the entire health care industry. But while changes are a certainty, it is far from clear what and how dramatic they will be, especially with regard to "Obamacare," aka the Affordable Care Act (ACA). Although we do not have a crystal ball, based on what we know and what we are hearing from our … [Read more...] about So, now what? How a Trump presidency will impact your office and the ACA
Should your practice invest in medical billing software?
By Aiden Spencer bio There has been considerable debate among physicians about whether or not it is beneficial to get an EHR (electronic health record). If your practice is having this debate, let's evaluate the benefits and problems associated with an EHR and see if one is right for you. [Full disclosure: I have abundant experience in the field because I am working for a … [Read more...] about Should your practice invest in medical billing software?
CMS launches new online tool to make Quality Payment Program easier for clinicians
The Centers for Medicare & Medicaid Services (CMS) have released a tool to share automatically electronic data for the Medicare Quality Payment Program. This new release is the first in a series that will be part of CMS's ongoing efforts to spur the creation of innovative, customizable tools to reduce burden for clinicians, while also supporting high-quality care for … [Read more...] about CMS launches new online tool to make Quality Payment Program easier for clinicians
Model Section 1557 Civil Rights Grievance Procedure
Why you need this model policy and procedure: Section 1557 of the Affordable Care Act (ACA) requires covered entities to adopt safeguards to avoid discriminating on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. One of those safeguards, which is set out in Section 92.7(b) of the ACA final rule, is to establish a … [Read more...] about Model Section 1557 Civil Rights Grievance Procedure
How to comply with new ACA non-discrimination requirements
Section 1557 of the Affordable Care Act (ACA) requires covered entities to take certain actions to ensure they comply with their duty not to discriminate on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. Section 92.7 of the ACA final rule specifies two things entities must do to meet their nondiscrimination … [Read more...] about How to comply with new ACA non-discrimination requirements
Is your practice aware of significant changes to Medicare’s MACRA program?
A transformative law is on track to fundamentally change how physicians and other clinicians are reimbursed under the Medicare Physician Fee Schedule (PFS), but half of recently surveyed physicians have never heard of it, according to the "Deloitte Center for Health Solutions 2016 Survey of U.S. Physicians." The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) … [Read more...] about Is your practice aware of significant changes to Medicare’s MACRA program?
$900 million in false billing results in charges against medical practices throughout the U.S.
Attorney General Loretta E. Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Mathews Burwell have announced an unprecedented nationwide sweep led by the Medicare Fraud Strike Force in 36 federal districts, resulting in criminal and civil charges against 301 individuals, including 61 doctors, nurses, and other licensed medical professionals, for their … [Read more...] about $900 million in false billing results in charges against medical practices throughout the U.S.