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 …

Medicare to hold claims

The 2014 Medicare Physician Fee Schedule (MPFS) final rule stipulated a negative update to the MPFS that was to be effective January 1, 2014. That reduction was averted for three months with the passage of the Pathway for SGR Reform Act of 2013, which provided for a 0.5 percent update for services paid under the …

2013 DME Requirements

Beginning October 1, 2013, new Medicare requirements will require a physician to sign and document that a face-toface visit has taken place within the previous 6 months before durable medical equipment can be ordered. Currently nurse practitioners (and physician assistants) manage this for their patients.  The consequences of this will increase cost as well as …

Clinicians Business Tip: Medicare, Medicaid or Not

Recently I’ve received several questions from nurse practitioners and other clinicians about Medicare and Medicaid. Specifically they are questioning if they should accept patients into their practices with these insurances and if they already do, should they consider opting out? Not surprisingly, there is a lot of emotion behind these questions. Most NPs I’ve spoken …

Effective Today: Medicare Cuts 2%

  Nurse Practitioners and other clinicians are likely aware that effective today, Medicare has reduced your reimbursement by 2%.  While it does not sound like a lot, consider the compound effect of 2% over the year. This was the topic of discussion last week during the NPBO Members Only monthly Success Webinar. It’s critical that all practices …

EHR: NPs, CNMs, PAs

From the Centers of Medicare and Medicaid Services, here is an important announcement on electronic health records (EHR). As of Tue Jan 31, more than $3.2 billion in Medicare and Medicaid electronic health record (EHR) incentive payments have been made; more than 191,000 eligible professionals, eligible hospitals, and critical access hospitals are actively registered. Learn …