Billing & Reimbursement

Under CMS’s new Quality Payment Program, which will adjust Medicare Part B payments starting in 2019 based on data from this year, physicians and other eligible clinicians must qualify for
Continue Reading CMS Predicts that Physicians participating in Advanced APMs in 2017 will receive a 5% Incentive Payment in 2019

Earlier this month, a New York man was sentenced to 10 years in prison for allegedly operating a $26 million scheme to defraud Medicare and Medicaid. The defendant allegedly established
Continue Reading New York man sentenced to 10 years in prison for involvement in $26 million “billing mill”

The Medicare incentive programs with which you and your medical practice are familiar will soon be no more.  As of January 1, 2017, these programs (including the Electronic Health Records
Continue Reading Are You Ready for the New Medicare Quality Payment Program? (Part 2): Basics of the MIPS and How to Qualify in 2017