Category Archives: Reimbursement

Marilyn Werber Serafini – September 2011 The Medicare Payment Advisory Commission (MedPAC), which advises Congress on Medicare payment policy, is drafting a plan to permanently replace the program’s current method of paying physicians. The Committee plans to have a proposal … Continue reading →

The Centers for Medicare and Medicaid Services (CMS) announced a new plan for paying physicians, hospitals, and other providers who treat Medicare beneficiaries. The new payment plan would bundle Medicare payments for services rendered. Under the Bundled Payment initiative, which … Continue reading →

Medicaid Physician Fee Schedule Links by State Alabama Medicaid Agency Alaska Medical Assistance Arizona Health Care Cost Containment System California Department of Health Services Connecticut Medical Assistance Program Hawaii State Department of Human Services, Med-QUEST Division Idaho Department of Health … Continue reading →

Physician Payment Physicians providing medical care can be reimbursed (paid) by either Medicare, Medicaid, private insurance, or by the patient. The federal government, through the Centers for Medicare and Medicaid Services (CMS), is the most dominant player in how and … Continue reading →

Listed below are the current Pay-For-Performance Measures used by several private and government payers. Process Payers Heart Failure Care Processes Acute Myocardial Infarction (AMI) Processes Pneumonia Care Processes Surgical Care Infection Prevention CMS Measures Patient experience with MD communication Patient … Continue reading →