Historic SGR bill awaits action by Senate, Medicare claims are on hold

From the Wisconsin Medical Society After passing the U.S. House of Representatives last week, H.R. 2: “The Medicare Access and CHIP Reauthorization Act” (MACRA), which would repeal the flawed sustainable growth rate (SGR) formula, has been put on hold until the U.S....

The Wisconsin Medical Society Criticizes Fee Schedule Proposal in Workers Comp Bill

The Wisconsin Medical Society has asked all physicians to pick up the phone and call the State Capital. Wisconsin currently holds the fastest return-to-work rate in the nation and the care provided at a cost-per-workers-comp-claim falls below the national average. The...

Watch What You Copy-Paste as OIG Gets Serious About Stopping Cloned Notes

According to CMS, plan to prepare your office for additional scrutiny as the Office of Inspector General (OIG) pushes CMS contractors to look more carefully at suspected cloned notes and overdocumentation caused by electronic health record (EHR) workarounds. In a...

A Little Known Rule in the ACA Could Pose Financial Risk to Doctors

Article by Michael L. Smith, JD and George F. Indest III, JD A little known rule published by CMS to implement the Affordable Care Act (ACA) could pose a significant financial risk for doctors, hospitals and other healthcare providers. The rule requires health plans...

EHR Incentive Programs

Review Important Payment Adjustment Information for Medicare EPs Eligible professionals (EPs) participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. CMS will determine the payment adjustment based on...