Top 5 Strategies for Educating Key Stakeholders on the 2024 MPFS Updates

The Centers for Medicare & Medicaid Services published its Medicare Physician Fee Schedule final rule on Nov. 1, 2024. The agency also establishes a new specialty measure set for optometry for the CY 2025 performance period and the 2027 MIPS payment year and subsequent years. In the 2023 MPFS fin... View More

Top 5 Strategies to Complete the Medicare and Medicaid Enrollment Forms Acc

The process of registering with Medicare and Medicaid Managed Care Enrollment is very lengthy and time-consuming. The number of new Medicare and Medicaid managed care enrollment applications continues to decline because of the significant complexities surrounding the requirements for application enr... View More

Emergency Preparedness: Organizing Hospitals for Seasonal Virus Outbreaks i

Outbreaks of infectious disease, disasters, and conflict have reminded the world of the reality that it is still prone to health emergencies with global consequences. Significant gaps still exist in the ability of many countries to address all hazards, health emergencies, and disaster risks. WHO has... View More

Be Aware of ICD-10-CM Code 2025 Guideline Changes

The updates to the ICD-10-CM Official Guidelines for Coding and Reporting are minimal for 2025. Most of the updates are necessary to maintain consistency in how things are referenced in the guidelines based on the addition of new codes. The International Classification of Diseases 10th revision clin... View More

What is the non-compete law in New York 2024?

What is the non-compete law in New York 2024? Non-compete agreements are legally binding agreements that some employers impose on their employees to restrict them from working for a competing company for some time after leaving the job. Given that Employees who signed non-competes are unlikely to... View More

Consumer Perceptions on Second Opinions and Concierge Health Services

Information asymmetries are so prevalent in markets for physician services that they can be said to characterize these markets.1 One particular asymmetry between physicians and patients is that for many health problems, patients cannot diagnose themselves. Instead, they have to rely on a physician t... View More

The Rise of Person-Centered Care in Healthcare

In the past, healthcare was often focused on treating diseases rather than people. Patients were viewed as passive recipients of care rather than active participants in their health. However, in recent years, there has been a shift towards a more patient-centered approach to healthcare. Patient-cent... View More

Provider Enrollment and Credentialing in Healthcare

Provider credentialing in healthcare refers to the process of verifying and evaluating the qualifications, credentials, and background of healthcare providers, such as physicians, nurses, and other allied healthcare professionals, before allowing them to provide care to patients. This process typica... View More

New Guidelines for Direct and General Supervision of Incident To

The Centers for Medicare & Medicaid Services (CMS) sets guidelines and regulations to ensure adherence to reimbursement rules for incident-to-services. Some of CMS Physician's final rules center around practices that employ advanced practice providers (APPs). When auditing medical records, it’... View More

Inpatient Prospective Payment System Final Rule for 2025

The Inpatient Prospective Payment System (IPPS) Final Rule for 2025 introduces significant updates that will shape how hospitals receive Medicare payments for inpatient services. On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) announced the final rule for the FY 2025 Inpatient ... View More

What Is The Hospital Value-Based Purchasing Program

The Hospital VBP Program rewards acute care hospitals with incentive payments for the quality of care provided in the inpatient hospital setting. This program adjusts payments under hospitals' Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver. Hospital Inpa... View More

Identify Additional and New Telehealth Services Available in 2025

The future of telemedicine will be influenced not only by technology but also by allowing users to benefit from these incredible breakthroughs while maintaining a privacy-focused and evidence-based approach. Patients must learn how to navigate internet platforms, grasp health informatics, and use co... View More

Nursing Home versus Home Care: How Medicaid Cuts Shift the Balance