Physician groups critique Medicare payment system — 5 points

The Texas Medical Association and American Medical Association are critiquing the Medicare payment system, saying it is flawed in the way it penalizes physicians, according to myStatesman.com.

Advertisement

Here are five points:

1. The group said one in four physicians are at risk of having their Medicare payments cut for problems outside the physician’s control.

2. In a letter, the AMA said the payment system does not promote transparency and is full of errors and obstacles causing physicians to not trust the program.

3. On Feb. 16, CMS said the agency is working to simplify quality measures, but the AMA countered CMS has failed to respond and proceed as the agency promised.

4. CMS gave physicians a month extension to appeal penalties after facing criticism from physician groups. The AMA said the month extension did not provide ample time.

5. The AMA and 44 other national physician organizations wrote to the CMS saying physicians were being penalized as a result of government errors and data transition issues.

More articles on coding & billing:
New Hampshire expands state Medicaid program: 5 notes
Who does Medicare pay more for claims — Physicians or nurse practitioners? 5 findings
Premiums escalating for Massachusetts retailers — 4 points

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.