The number of opt-outs tripled in 2012 when compared with three years prior. Medicare generally reimburses at a lower rate than other payers, which could be a factor in the provider’s decision to opt out.
“We believe this is highly prevalent in spine and orthopedics,” says Scott Becker, JD, partner at McGuireWoods.
Additional opt-out activity could be driven by penalties for Medicare-enrolled providers who don’t meet meaningful use requirements beginning in 2015.
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