SFMS/CMA Urges Congress to Stop $11 billion in Medicare Sequestration Cuts Medicare payments will be slashed by $11.1 billion next year due to the Budget Control Act of 2011 unless Congress passes new measures to prevent the cuts. This comes just days after the SFMS/CMA, American Medical Association, and 99 other state and specialty societies submitted a letter to Congress urging the passage of legislation nullifying the 2 percent cut payments called for under the sequestration act. September 17, 2012 Advocacy, AMA, CMA, Medicare, Payment Medicare sequestration cuts, Medicare payment reduction, SFMS/CMA advocacy 0 0 Comment Read More »
Primary Care Payment Struggles The way doctors bill and get paid is a byzantine process and it is no wonder the "private practice" doctor is an endangered species. September 12, 2012 Payment, Primary Care, SFMS Member physician payment, Toni Brayer 0 0 Comment Read More »
Ask the SFMS: Can I Bill a Medicare Advantage Patient When He/She Chooses to Seek Treatment Outside of the Network? So, what happens if your practice sees a longtime Medicare patient who has, unbeknownst to you, switched to a Medicare Advantage plan for which your physician is not contracted? Can you bill the patient? Based on information from Centers for Medicare & Medicaid Services (CMS), the answer is yes, but with limits. August 8, 2012 Payment, Physician Resource Ask the SFMS, Medicare Advantage 0 0 Comment Read More »
Anthem Blue Cross Announces New Reimbursement Policies Changes This week, Anthem Blue Cross sent physicians a notice advising of upcoming changes to the insurer’s reimbursement policies and claims editing software called ClaimsXten. Most changes will go into effect on December 8, 2012, with a few exceptions that go live on January 1, 2013. August 6, 2012 Payment Anthem Blue Cross, payment policy 0 0 Comment Read More »
Summary of Provisions from Physician Fee Schedule Proposed Rule for 2013 Summary of Provisions from Physician Fee Schedule Proposed Rule for 2013 August 2, 2012 Payment, Physician Resource eRx Incentive Program, PQRS, VBM, 2013 Physician Fee Schedule Proposed Rule, SGR 0 0 Comment Read More »