More billing codes, demonstrations help bridge physician payment gap

Insurance agent using calculator for medical insurance, the policy and explain insurance policy to customer. life insurance concept.
In the 2018 Medicare Physician Fee Schedule, CMS said it is working incrementally to “identify gaps in appropriate coding and payment for care.”
“A new Robert Wood Johnson Foundation (RWJF) report analyzed how CMS has expanded billing codes and demonstrations focused on supporting primary care.  The report said primary care providers (PCPs) involved in CMS demonstrations are getting higher monthly payments. The shift has meant more up-front payments rather than end-of-year bonuses. Those providers are also being held accountable for a wide range of outcomes, but often “not expected to independently influence the total cost of all care received by Medicare beneficiaries,” according to the RWJF report.” Read the full article.
Check out this article and more on social media!

Related Posts

National Minority Health Month

National Minority Health Month: Be the Source for Better Health

April marks an important observance in the healthcare calendar: National Minority Health Month. This month is dedicated to raising awareness ...
Keys to a Reliable Data Quality Strategy

Building Trust in Healthcare Payer Data: 3 Keys to a Reliable Data Quality Strategy

In the age of big data, healthcare payers and third-party administrators (TPAs) are overwhelmed by vast amounts of information, underscoring ...
CMS Final Rule

2026 CMS Interoperability and Prior Authorization: Key Strategies for Healthcare Payer Readiness

In January 2024, the Center for Medicare and Medicaid Services (CMS) issued the Interoperability and Prior Authorization Final Rule CMS-0057-F, ...

Want To Know How We Can Help Your Organization?