Health Law & Policy

Obama administration faces scrutiny over ACA transparencyThough the second enrollment period of the Affordable Care Act has been operating fairly glitch free, the healthcare reform law and the Obama administration are facing major scrutiny from Republicans.
Code with confidence
Code with confidenceOpportunities and strategies for billing non-face-to-face encounters
Evaluation and management: bill the correct level of careKnowing which CPT code to use for an evaluation and management visit can boost your revenue and help avoid audits

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Physicians and online reviews: Patients focused on quality of careA national survey found that patients are also evaluating physicians based on diagnosis accuracy and wait times
The fight for clinical controlAdministrative challenges are nothing new to physician practices. But physicians and practice administrators across the United States now describe significant struggles to adapt to what amounts to far greater involvement from payers and regulators related to clinical decisions on a variety of fronts, such as prior authorizations, case manager involvement and network cancellations.
How network cancellations impact a practiceA practice in Connecticut details the impact of removal from a payer's network

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Referrals and liability: What primary care physicians need to knowPrimary care physicians (PCPs) often refer patients to specialists when they face a complicated or perplexing diagnosis, or one that is beyond their purview. But is that always the right decision for the patient? Some experts say that it absolutely is, but others say knowing the patient is more valuable than being an expert in one specific area.
Restrictions growing on physician speech in exam roomAre there limits to what physicians can ask their patients?
The evaluation and management codes auditors focus onBecoming familiar with the details of evaluation and management billing codes can reduce your chances of being audited.
Healthcare exchanges have an easier launch compared with last year’s glitchesThe first weekend of second open enrollment period on the healthcare exchanges was far smoother than last year’s launch, due to the retooled Healthcare.gov website and new leadership.

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