51˶

Practice Management

Reimbursement

More in Reimbursement

Health Spending Up 7.5% in 2023, CMS Says

Spending reached $4.9 trillion, with spending on physician and clinical services up 7.4%

Dec 18, 2024
A photo of a spilled bottle of prescription medication lying on $100 bills.
Congress Agrees on Tentative Budget Deal; Mostly Reverses Docs' Medicare Pay Cut

Agreement would reduce a 2.8% cut to 0.3%, but doesn't include prior authorization reform

Dec 18, 2024
A photo of the US Capitol building at sunrise.
MedPAC Members Supportive of Upping Medicare Pay Rates Close to the Inflation Rate

Proposed recommendation would give extra pay bump to providers serving low-income beneficiaries

Dec 12, 2024
 A photo of a female physician holding several $50 bills.
Should Hospitals Be Paid the Same as Doctors' Offices for the Same Service?

"Site-neutral" payment in Medicare is gaining traction in the halls of Congress

Dec 12, 2024
A photo of the Capitol Building in Washington, DC.
State 'Gold Card' Laws Sound Good -- But Are They Working?

A Texas law to exempt providers from prior authorization hasn't worked out as hoped

Dec 10, 2024
A close up photo of a gold credit card.
Health Prices Are Getting More Transparent, but It's Still Not Enough, Experts Say

Price data need to be specific, searchable, and easy, according to one expert

Nov 20, 2024
A photo of two yellow capsules and reading glasses lying on a hospital price list.
Opinion
The Trouble With Upcoding Extends Far Beyond Ethics

The practice reminds us that our healthcare system is failing patients and clinicians alike

Nov 11, 2024
A photo of a stethoscope lying next a tablet where a male physician has a medical coding spreadsheet open.
Paying Docs for Prior Authorizations Among the Hot Topics at the AMA Meeting

Delegates also mulled resolutions on pediatric hospital closures, public health misinformation

Nov 10, 2024
AMA over a photo of Walt Disney World Swan and Dolphin Resort in Orlando, FL.
Fixing Medicare Cuts, Reforming Prior Auth Among AMA's Top Priorities, Says AMA Prez

Bruce Scott, MD, also touches on scope-of-practice issues in speech to House of Delegates

Nov 09, 2024
AMA over a photo of Walt Disney World Swan and Dolphin Resort in Orlando, FL.
Does the AMA Need to Right-Size Its House of Delegates?

Departing CEO James Madara, MD, suggests the group's governing body might be getting too large

Nov 09, 2024
AMA over a photo of Walt Disney World Swan and Dolphin Resort in Orlando, FL.
Doc Groups Blast 2.8% Cut in Medicare Physician Fee Schedule Final Rule

But extension of telehealth flexibilities and a change to primary care payment draw praise

Nov 04, 2024
A photo of a male physician at his desk using a calculator.
Opinion
How Physicians Can Unionize and Strike With Compassion

It's important to consider the impact on patient care

Nov 02, 2024
A photo of longshoremen on strike outside of Red Hook Terminal in Brooklyn, New York.
Backers of Prior Authorization Bill Hopeful for Passage by End of the Year

The bill's cost estimate has dropped from $16 billion to $0, greatly hiking chances of passage

Oct 30, 2024
 A photo of the Capitol building in Washington, D.C. at sunrise.
House Members Introduce Bill to Reverse Pending Medicare Physician Fee Schedule Cut

Measure includes a 1.8% pay increase for clinicians

Oct 29, 2024
A close up photo of a rolled up $100 bill in the breast pocket of a physician’s white coat.
More in Reimbursement