Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Emergency Medicine

Proposed Changes to the Medicare Fee Schedule that Could Affect Emergency Physicians

Emergency physicians may benefit from future changes in Medicare billing policy outlined in the proposed Medicare Physician Fee Schedule released earlier in June. CMS is asking for comments on two different guidelines that could ease documentation guidelines and improve reimbursement for coding and billing E/M services in the emergency department. Read more

The Problem with Comparing ER Charges

Emergency physicians charge uninsured or out of network patients as much as four times more than what they are willing to accept in payment from Medicare, according to a recent study from Johns Hopkins School of Medicine. But the American College of Emergency Physicians says the study relies on flawed methodology and incorrect assumptions about the cost of emergency care. Read more

Emergency Physicians Respond to Recent Study about Out-of-Network Balance Billing

In the ongoing debate about out-of-network balance billing, or so-called “surprise billing,” a recent national study found that the average emergency physician charges at least four times what Medicare reimburses for the same services. But the American College of Emergency Physicians says the study focuses on the wrong issues. Read more

MACRA Quality Payment Program for Emergency Physicians

Final details of the MACRA Quality Payment Program (QPP) for the 2017 reporting year were recently released by the Centers for Medicare and Medicaid Services (CMS). While much of the proposed rule was included in the final draft, CMS made a few provisions especially for small practices, hospital-based clinicians, and eligible providers who aren’t quite ready to dive in for 2017. Read more

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