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Medical Economics Insider: Save your practice

Check out our inaugural edition of our interactive publication, featuring in-depth reporting, expert insights, exclusive data, and more!

Medical Economics Insider: Save your practice


Cracking the code

You can obtain reimbursement at a higher level and overcome your fears of being audited by thoroughly and correctly documenting the care you provide to your patients.

Although experts say that culture is the most important factor in a Patient-Centered Medical Home, costs are sure to be high on your list if you are determining whether to make the switch to this model. Here's what you need to know.

Rewarding for value

Payment rates under the Medicare physician fee schedule for practices with 100 or more physicians will be subject to a value-based payment modifier starting in 2015. The requirement will extend to all physicians, regardless of practice size, by 2017. The modifier is based on performance from the previous 2 years, meaning that the 2017 modifier will be judged using 2015 performance. Here's what you need to know now to obtain maximum payment.

New guidelines from the American College of Physicians pertaining to the performance of upper endoscopy are designed to provide better care to patients as well as save the health system money. Find out what they mean for your practice.

About one in five Americans will become disabled for 1 year or more before age 65, with the average disability lasting 30 months. Long-term disability policies can provide you with income if you are injured or become ill.

Out-of-pocket expenditures for patients increased while benefits of employer healthcare coverage became “less generous” from 2007 to 2011.

Mental health problems and suicide risks have lawmakers questioning whether new rules surrounding the Health Insurance Portability and Accountability Act of 1996 (HIPAA) ultimately “interfere with patient care and public safety.”

Although the Congressional Budget Office recently downgraded the 10-year cost of repealing the sustainable growth rate (SGR) to $138 billion, the American College of Physicians (ACP) took to the Hill advocating a phased approach to repealing it and moving to value-based models.

Two out of three patients do not adhere to their care plans. In fact, adherence problems related to prescription medications is so widespread, they are costing the United States $100 billion a year in medication-related hospital admissions.

Although the American Academy of Family Physicians threw support to President Obama’s initiative for Medicaid expansion and Medicare payment reform, across-the-board cuts to graduate medical education (GME) threaten family medicine residency programs.

The basic principles of economics are creeping into health care-supply and demand.As the U.S. health care reform progresses, more than 30 million newly insured patients will be added to the world of healthcare, leaving a small supply of doctors scrambling to keep up with the demand.

Nearly three-fourths of eligible professionals have registered for the government’s electronic health record (EHR) incentive programs, according to a recent report from the Centers for Medicare and Medicaid Services.

The National Society of Certified Healthcare Business Consultants has released information on medical practice overhead percentages, average monthly charges in accounts receivable, full time equivalent staff ratios, and more in its 2012 Joint Statistics Report of Medical and Dental Statistics on Income and Expenses.