Inpatient hospital charges can be a mixed blessing for medical
practices: On one hand, physicians generate income with little to no
overhead — on the other hand, providers don’t always submit charges in a
timely manner, according to a recent discussion on the MGMA Member Community
Members say this issue leads to charge lag - money that could have
earned interest in practice accounts is uncollected as the charges float
Using non-physician providers (NPPs) is an effective way to balance
provider workload and improve patient access as group practice
professionals prepare for the influx of 30 million new patients with
implementation of the Patient Protection and Affordable Care Act.
However NPPs can put you at risk for noncompliance, as every health plan
— including Medicare —has its own rules regarding NPP billing, and each
state has its own laws for NPP licensing and scope of practice.
In 2015, EPs will be subject to a 1.5 percent payment adjustment for not
successfully participating in the PQRS program in 2013. We know PQRS
participation can be challenging, but professionals who are not yet
participating should consider starting the process to avoid future
penalties. To get you started, we provided answers to four common questions members ask the MGMA Government Affairs staff.
Professionals, who recognize the limitations of traditional
payer-provider-employer interactions, are redefining their relationships
and breaking down silos that have historically prevented collaboration
to improve patient care and reduce costs. Group practice professionals
on the cutting edge of this change are exploring direct relationships
with employers and negotiating differently, said payer, provider and
employer representatives during a
panel at the MGMA 2013 Financial Management and Payer Contracting
Conference (FMPC) in Phoenix last month.
How easy does your billing statement make it for patients to pay their outstanding balances? As strange as this may sound, if your statements are confusing, they may delay or deter payments. MGMA-ACMPE members got quick and easy fixes to common statement problems in the February 2013 issue of MGMA Connexion
magazine. Read the suggestions.
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