ITEMS IN FPM ON TOPIC:
Some payers pay less per unit of work (RVU) for evaluation and management services, the mainstay of our specialty, than for procedural services. The author argues that the elimination of multiple conversion factors would go a long way toward moderating the vast income gap between cognitive and procedural physicians.
The author, a contract analyst for a multispecialty group, describes the questions family physicians ought to ask themselves when evaluating managed care contracts.
The article explains how physicians can negotiate with payers for fairer reimbursement rates and when they should try this approach.
The author describes how his practice developed a pool of money that uninsured self-pay patients who demonstrate financial need contribute to and that the practice draws from to be compensated for the care they provide to these patients.
The article describes how to conduct a unit cost analysis, which takes into account all of the costs associated with providing a particular service (e.g., an adult physical) and determine how much it costs your practice to provide that service. This information can be useful for developing budgets, for negotiating rates with health insurance plans and for strategic planning.
The article explains clarifications to the anti-kickback statute that were recently issued by the Office of Inspector General. The focus is on waiver of copayments for indigent patients.