Opting Out of Medicare

Whenever Medicare changes its rules, providers express interest in opting out of Medicare. Indeed, many clinicians are wondering about, and opting out of third party payment systems for a variety of reasons (low payment, no payment, and hassle factors), which we will explore in another article. However, with the Medicare Access and CHIP Reauthorization Act …

[VIDEO] Cash Practice?

Each day I receive plenty of email from Nurse Practitioners, Physician Assistants/Associates and other clinicians who have questions about starting a practice, practice models, business development or a variety of other topics pertaining to practice operations, management and marketing. This video (below) answers a question I received from one individual but encompasses a question I …

ICD10 Codes

Nurse Practitioners and other clinicians should be aware of the changes  that are taking place when it comes to diagnostic coding. On October 1, 2013, medical coding in U.S. health care settings will change from ICD-9-CM to ICD-10. The transition will require business and systems changes throughout the health care industry. Everyone who is covered …

Medicare: Hold Claims for 10 days

Once again, Medicare is asking Nurse Practitioners and other providers to hold our Medicare Claims for 10 days until Congress can prevent a 21% reduction in reimbursement to providers.  We will not know the outcome until after Congress has a chance to reconvene on April 12 and they approve a pay patch.  However, it’s unclear …

Delay in Medicare Cuts

Many independent NP practices are concerned with the proposed changes in Medicare reimbursement. At this time, it stands at -21.2% of the physician allowable. Of course, for NPs and PAs that figure is a bit more.  The good news is the proposed cuts in payment have been delayed until March 1, 2010. In terms of …

CMS Proposes Payment/Policy Changes to Providers

This proposed change affects Nurse Practitioners and  Physicians Assistants as well as Physicians, and directly impact those of us with our own offices. Read carefully. The Centers for Medicare & Medicaid Services (CMS) announced today proposed changes to policies and payment rates for services to be furnished during calendar year (CY 2010) by over 1 …