PMB Blog
Home Care Agencies Often Wrongly Deny Medicare Help To The Chronically Ill
Colin Campbell needs help dressing, bathing and moving between his bed and his wheelchair. He has a feeding tube because…
3 Benefits of Value-Based Care
The U.S. healthcare industry is moving toward value-based care, encouraged by reimbursement initiatives from the Centers for Medicare and Medicaid…
CMS Delays Collapsing of E/M Payment Rates Until 2021
Implementation of a single E/M payment rate for office visit Levels 2 through 4 won’t go into effect until 2021,…
Increased Enforcement Against Home Health Agencies
With the recent rise in medical services provided outside of a doctor’s office, there has been a surge of FCA…
American medical students less likely to choose to become primary care doctors
Despite hospital systems and health officials calling out the need for more primary care doctors, graduates of U.S. medical schools…
Medicare decides a cost-saving strategy costs too much
After pushing more medical care out of hospitals and into patients’ homes, the federal government wants to pay less for…
Medicare Sequester Extended Two Years
The Bipartisan Budget Act of 2019, signed into law last week by President Donald J. Trump, includes an extension of…
CMS Is Putting Primary Care First
Beginning January 2020, primary care practitioners may qualify to participate in one of five new payment model options that focus…
When A Doctor’s Screen Time Detracts From Face Time With Patients
As Wei Wei Lee sat with her doctor to discuss starting a family, she felt a “distance” between them. The…
Take A Look At Latest PDGM Clarifications from CMS
One piece of information you may find surprising from an Aug. 21 Centers for Medicare & Medicaid Services education call, “Home Health Patient-Driven Groupings…
New Medicare Card: Transition Period Ends in Less Than 5 Months
Members, please pay close attention if you are a Medicare provider. All new Medicare cards have been mailed. The Centers…
Can an ACO Benefit Independent Physicians?
An Accountable Care Organization (ACO) is a voluntary association of healthcare providers that bases physician reimbursement on performance quality and…
Bankruptcy Court Stops Medicare from Recouping Monies Owed by Provider
A Delaware Bankruptcy Court Judge has entered an order prohibiting Medicare from withholding payments to a diagnostic testing provider, True…