ITEMS IN FPM ON TOPIC:
This article describes the ways in which different Medicare carriers interpret Medicare's documentation guidelines differently, thus amplifying the ambiguity of the guidelines and complicating coding and reimbursement.
The article explains key measures in the recently passed Patient Protection and Affordable Care Act and how the legislation is likely to impact family physicians and the care they provide.
It's a big hill to climb for a carrot that may not be there when you reach the top.
The author details Medicare's guidelines for documenting the history portion of E/M visits. Medicare and many private payers use the guidelines to determine whether physicians' documentation supports the level of service they code.
With recent changes in CMS rules governing Medicare enrollment, including the requirement for periodic "revalidation," enrollment has become much more complicated. This article focuses on common problems physicians may face in the enrollment process and how to avoid them.
This article shares one practice's success story with the Physician Quality Reporting Initiative (PQRI) and provides readers with experienced advice and tips on reporting successfully.
The article provides a summary of the clinical preventive services Medicare covers, the circumstances under which they're covered and guidance about how to get paid for them.
The article explains steps physicians must take if they no longer want to be participating providers in the Medicare program.
Even paying physicians too little may be too much for Medicare.
Its payment system undervalues primary care, and its regulations include jail time for physicians' mistakes. What's not to love?