When it comes to improving the patient experience, providers tend to focus on the front-end experience. Whether it’s enhancing point-of-service interactions or clinical touchpoints in the patient journey, these aspects of patient experience are crucial. But they’re not the only ones impacting net promotor scores (NPS) and HCAHPS results.
Why fee-for-service can have a place in a reimagined healthcare system, but not as the primary mode of payment
Fee-for-service has been coming under increasing scrutiny in recent years, but the healthcare industry shouldn’t dismiss it as a mode of payment altogether.
As the U.S. healthcare industry makes an increasingly concerted effort to move to population health management, the key question is how to pay for such a transformation.
The U.S. House finalized legislation in a 384-38 vote Tuesday, averting 2% Medicare pay cuts set to hit radiologists and other physicians. Following passage in the Senate, President Joe Biden signed the bill on Wednesday, April 14.
Better integration with primary care can help address the ongoing mental health and addiction crisis, report finds
Integrating primary care and behavioral healthcare can shore up the nation’s capacity to address the surging mental health crisis, according to a new report. Existing value-based payment structures can be deployed to promote the availability of high-quality behavioral healthcare.
Although reduced reimbursement for acromioplasty has negatively impacted me financially, it has not impacted my patients. I still use the patient’s clinical history, symptoms and surgical findings to perform acromioplasty when I consider it to be helpful based on evidence-based medicine, logic and my experience. In 2012, code 29826 was changed to an add-on code and was reduced from 9.16 relative value units (RVUs) to 3 RVUS. That reduction in reimbursement had a moderate negative financial impact on my practice for Medicare patients.
Delays in adopting new current procedural terminology codes cost one academic radiology practice hundreds of thousands of dollars in revenue, according to a new analysis.
Despite efforts to educate clinicians and increase payment revisions, little has changed in the amount spent on low-value healthcare for traditional fee-for-service Medicare patients.
Understanding all that’s required to secure healthcare payment during a pandemic — especially for services related to COVID-19 — demanded that revenue cycle teams quickly refine denials management processes to protect their organization’s financial health. It also necessitated a spirit of patience and understanding toward payers, which faced a similar learning curve.
Published literature has shown the postponement and cancellation of elective procedures during the COVID-19 pandemic had a substantial financial impact on orthopedic practices and hospitals. In a study in International Orthopaedics, Matthew J. Best, MD, and colleagues estimated hospital losses of $10.9 to $11.9 billion in reimbursement and $2.6 to $3.5 billion in net income due to canceled elective musculoskeletal surgery during 8 weeks of the COVID-19 pandemic.