California Primary Care Association’s Post

Are hospitals getting a bigger slice of the Medicare pie? 🥧 Medicare pays hospitals MORE for outpatient care than independent physicians & surgery centers, leading to higher patient costs. Lawmakers want to change this with site-neutral policies that equalize payment rates across healthcare settings, potentially saving up to $40 BILLION for taxpayers. Hospitals oppose this, arguing they're not overpaid by Medicare, receiving only 84 cents for every dollar spent on patients, resulting in a negative 17.5% Medicare outpatient margin. Advocates claim site-neutral policies could encourage independent physician practices and reduce hospital acquisitions of outpatient offices. Whether you are a provider or a consumer, keep your eye on the healthcare landscape. Continue to follow to stay informed!! Ref: https://lnkd.in/gapV3Fpp

In the Know: Medicare is introducing new pre-treatment approvals for select facilities amidst increased billings. This authorization will target specific services, addressing billing concerns. Medicare plans to test this over five years, anticipating savings akin to those seen in hospital outpatient departments.

Unlock the secrets to maximizing reimbursement for #podiatry with our latest blog on routine foot care billing and coding. Discover how to navigate Medicare's complex policies, leverage LCDs for billing guidance, and ensure your practice is properly compensated. Perfect for #podiatrists seeking to streamline billing processes and enhance patient care. Read More (https://bit.ly/3P8u6k8) #healthcare #healthsystems #hospitals #medicalpractice #medicalcenter #healthcareprofessionals #podiatryclinic #podiatrybilling #podiatrycoding #medicalbilling #medicalcoding #ICD10 #health #medicine #publichealth #communityhealth #2024 #2024updates #2024healthcareupdates #podiatrists  #physicians #doctors

Everyone knows that the amount of private practice physicians is dwindling, but this article from Becker’s with Kenneth Candido poses an interesting perspective on it. ⬇️ 📉 More and more it is becoming common place to find less private practice surgeons and physicians. This I believe is mainly due to reimbursements going down and difficulty to maintain a practice (both cost and time wise) increasing exponentially. Dr. Candido throws another wrinkle into the equation that would even further expedite the shrink in private practice. I don’t have any insight into the political workings of referral bases within hospital systems and incentives, but if this is occurring, it does not bode well for the industry. The trend of systems buying up private practices or simply incentivizing private physicians to move to a hospital employee arrangement is obvious. I wonder a few things though about what could combat this “monopolization” as Dr. Candido puts it. 💰1. Do we think private equity injecting itself into medicine could help to combat this? It certainly has its flaws, but I wonder if they could assist with marketing and increasing referral bases etc. 🤝2. What would it look like for some of these practices to strike “deals” with big local systems in order to maintain their private practice but become a “preferred provider” or something of that nature? 📑3. I truly wonder how the recent discussions on eliminating noncompetes will affect this issue/landscape? Will it allow more hospital employed physicians to move back into private practice locally if they wish and keep their referral bases? I’d love to hear some physicians’ thoughts on this! See the article in the comments. #medicine #healthcare #hospitals #spinesurgery #medicaldevices #minimallyinvasive

Learn how the decrease in physician pay will create more challenges in hard to fill areas, such as #ruralhospitals. By not focusing on #innovation and #quality of patient experience, we're putting our healthcare in jeopardy, and encouraging physicians to leave their profession. A shortage of physicians helps nobody. For my friends in healthcare, what are your thoughts and perspective?

Navigating healthcare can be tricky. I hope this little tidbit is helpful. HMO and POS members are required to use sites designated by their PCP (Primary Care Physician) for services, which could include radiology, physical therapy and lab work. If, for example, you require hand therapy, your insurance will state you need to go to a specific outpatient therapy company through which the PCP is capitated. HOWEVER, the specialty of Hand Therapy is exempt from this rule with most insurances. Some outpatient therapy providers may not have a hand therapist on staff, so this exemption is important. The PCP and patient need to ensure the referral and prescription specifically states "Hand Therapy". Vestibular therapy and lymphedema therapy are often exempt from capitation rules as well. #PCP #CHT #understandEOB

Medical billing mistakes can financially ruin your practice, often costing more than negative cash flow. Burdensome paperwork, massive amounts of records, an inability to track charges and frustrating lost revenue are just the beginning. If you’re looking for a simple way to manage your medical billing process, contact us today. Let's CoSource! Find out how your practice/facility can save thousands in loss revenue by simply CoSourcing parts of your processes. Call today to know exactly what I'm talking about! 855-676-8326! #RevenueCycleManagement #ChronicCareManagement #RemotePatientMonitoring #Telemedicine #Telehealth #VirtualHealthcare #Credentialing #MedicalBilling #MedicalCoding #ARManagement #HealthcareIT #Hospitals #Clinics #Physicians #GroupPractices #AmbulatorySurgicalCenters #BehavioralHealth #FQHC #UrgentCare #Healthcare

Did you know that GP practices can claim up to £13,500 to switch to the modern general practice model? This Pulse Today article explains the reasons for the updated model and advises on how practices can access funding. Providing remote call handling and triage services to primary care, LineIn are committed to ensuring that every single interaction our team have with a patient has a positive and efficient outcome. We support GP's in the transition to the modern general practice model. https://lnkd.in/e5chiFkF