Tuesday, September 19, 2017

Physicians start to feel the financial pinch from regulations



Physicians start to feel the financial pinch from regulations.
2015 Introduced:
Value-based purchasing programs are solidly in place for hospitals. But now, eligible physicians are starting to feel the penalty phase of CMS’s quality reporting and Meaningful Use initiatives. In fact, CMS revealed that more than 257,000 eligible professional providers who are not meaningful users of certified EHR technology would have their Medicare Fee Schedule cut by one percent in 2015. Eligible professionals may also see reductions in reimbursements for noncompliance with Medicare’s Electronic Prescribing (eRx) Incentive Program and the Physician Quality Reporting System (PQRS).
Eligible physicians also need to comply with CMS’s new Value-Based Payment Modifier program, or face penalties. The Value-Based Modifier program calculates Medicare’s payments to physicians in group practices based on annual cost and quality measures. It’s part of Medicare’s efforts to improve healthcare, but the program adds yet more regulations physicians need to monitor.
All these changes and new reporting requirements are overwhelming busy physicians, which is why the American Medical Association has repeatedly asked for relief.
There is some positive news for physicians, however. CMS passed a final rule to allow for a new procedural terminology (CPT) code, 99490. The code enables physicians to bill CMS $41.92 per month for providing remote chronic care management to qualifying patients.
Another positive note for physicians, more states under Medicaid and commercial payers are adding telemedicine to their reimbursement fee schedule, so physicians can bill for these services.
2016
On October 14, 2016, the final rule on the Medicare Access and CHIP Re-authorization Act of 2015 (MACRA) was published. MACRA sunsets existing fee-for-service reporting programs like Meaningful Use (MU) and PQRS and replaces it with a new pay-for-performance program, the Merit-based Incentive Payment System (MIPS).  
MIPS consolidates and strengthens the financial impacts of the Meaningful Use (MU), Physician Quality Reporting System (PQRS), and Value-Based Modifier (VBM) programs, while leveraging their respective rules.
Do providers have time to review , comprehend and implement all these regulations to meet today’s healthcare ?
The best system for driving, measuring, and sustaining healthcare process improvement involves expertise knowledge.
SILBEN Healthcare Services offers the experience necessary to meet these changes. A healthcare system’s success will depend on the ability and willingness to collaborate creatively with payers in order to get sustainably paid and deliver better care. 

For more details , contact:
SILBEN Healthcare Services, INC.
Paul G. Silverio-Benet
Phone: 305-975-1171

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