healthcare industry news

Medicare to Pay Doctors for Chronic Care Management

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2015 will bring some well-deserved additional reimbursement for primary care physicians and other providers that manage some of the most difficult patients in the healthcare system: those with multiple chronic illnesses. Beginning in 2015, Medicare is going to begin to make separate, monthly payments to physicians for chronic care management (CCM) services. These services include […]

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EHR Penalty Exemption: Hope for Solo Pracitioners and Older Physicians?

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In 2009, the Medicare and Medicaid EHR (electronic health record) incentive program created an incentive structure that would reward physicians who adopted an EHR system, and penalize those who did not. Under this current program, physicians must meet “meaningful use requirements” and adopt an EHR system by July 2014 in order to avoid penalties in 2015.

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Cardiology Billing Update: Novitas Clarifies Regulations on IDE, HUD, CAS Clinical Trial Requests

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Novitas (Medicare Administrative Contractor) has sought to provide additional clarification for those providers seeking participation in clinical trials and applications for Investigational Device Exemption (IDE), Humanitarian Use Device (HUD) and/or Post-Approval and 510K Extension Studies for Carotid Artery Stenting (CAS). The Medicare A/B Reference Manual, Chapter 7 (available here: https://www.novitas-solutions.com/refman/chapter-7.html) has been revised. While there are

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Navigating the New Health Insurance Marketplace – Preparing for Oct 1, 2013

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We are less than six months away from a major shift in the way consumers and small-business owners shop for healthcare insurance. On October 1, 2013, enrollment begins for the state insurance exchanges, as prescribed in the Patient Protection and Affordable Care Act. While the goal of the exchanges is to allow the currently insured

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