ITEMS IN FPM ON TOPIC:
Feb 2006 Issue
First-Party Payers: Should You Cut Out the Middle Plan? [From The Editor]
How much of the world can you set right simply by asking your patients to pay for their care?
The author hopes to educate members on Medicare policy on concurrent care and how to establish the necessity of such. Written based on a January 2005 suggestion from the Commission on Health Care Services.
It makes no sense for medical insurance companies to do chronic disease management. Their role is to manage money. Primary care physicians can do chronic disease management right and for the right reasons. We must be paid for implementing these programs and paid to sustain them.
The article explains how physicians can negotiate with payers for fairer reimbursement rates and when they should try this approach.
This article provides specific guidelines and examples that explain why, how and when physicians should report CPT code 99211.
This is the second in a two-part series that reviews what the current options are for online communication with patients, how to integrate online communication with patients into a busy practice, and what the relevant guidelines are for privacy and financial success.
This article explains how learning and performing a simple office-based procedure, such as joint and soft tissue injections, can help physicians increase their reimbursement.
Argues that the reimbursement system's misalignment of incentives makes the health care system absurdly complicated and points to two articles in this issue as evidence.
The article explains what physicians can do to make wiser use of hospital resources, including limiting lengths of stay to what is clinically necessary and referring patients to alternate facilities when appropriate.
Argues that the mal-aligned incentives offered to health care providers in the current system are perverse and require special action on the part of physicians to generate anything like a healthy outcome.