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Reimbursement

October 9, 2018
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Experts discuss potential benefits, disadvantages to Cigna-Express Scripts, CVS-Aetna mergers

The Department of Justice approved the Cigna-Express Scripts merger on Sept. 17, according to Business Insider and The Wall Street Journal reported that the CVS-Aetna merger would likely get the green light by the end of the month. The Department of Justice decisions set into motion many concerns regarding the future of health care, medical and consumer experts told Healio Family Medicine. Many of these experts — most interviewed before the recent Department of Justice actions — said the future of health care looks daunting, not brightening.

September 17, 2018
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CMS proposes cutting more regulations

As part of its Patients Over Paperwork initiative, CMS has proposed another round of “red tape” cuts for healthcare providers that could reduce some burdens and loosen regulations across healthcare settings.

Categories: Reimbursement
August 28, 2018
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Cost Prompts More Than 20% of Americans to Pass on Medical Care

A new survey by Bankrate reveals that 22% of people in the United States have skipped medical care, or have a close family member who has opted not to get medical care in the past year because they felt they couldn’t afford it. 

Categories: Reimbursement
August 2, 2018
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Analysis: CMS stopping risk adjustment payments leaves insurance premiums in limbo,

The CMS decision to stop further collections or payments under the risk adjustment program leaves many questions about future health coverage and insurance premiums unanswered, experts and medical associations told Healio Family Medicine.

Categories: Reimbursement
June 11, 2018
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Digital Conversion -are Independent practices ahead of hospitals in Digital conversion?

A recent survey of Hospital-based Radiology Administrators revealed that 29% of hospitals have migrated to Digital Radiology.

Kontours has created a survey to understand the level of digitalization of radiology in outpatient facilities like Urgent Care, Sports medicine, and Urgent Care.

 please take a few minutes to answer our survey.

Categories: Reimbursement
May 23, 2018
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MSK Ultrasound Reimbursement Guide and Webinar

MSK Ultrasound Reimbursement
The MSK reimbursement guide provides general coverage and payment information for diagnostic ultrasound and ultrasound-guided procedures. When the ultrasound device is being utilized for a documented appropriate medical necessity, is being performed by appropriately qualified providers, and meets all Medicare requirements including documentation and storage of images, it may be possible for it to be billed and considered for coverage and payment by a payer.

Download the 2018 MSK Reimbursement Guide for Diagnostic Ultrasound or Register for a "Reporting Extremity Ultrasound Service" webinar to get in-depth information on musculoskeletal ultrasound reimbursement, documentation and reporting processes.

Learn more

July 9, 2018
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Most practice leaders unware of direct primary care

A poll conducted by the Medical Group Management Association (MGMA) found most medical practice professionals aren’t aware of the direct primary care (DPC) model where patients pay a flat fee in exchange for easier access to their primary care doctor.

March 27, 2018
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Skeletal x-rays are on the rise, especially among nonradiologists

Skeletal x-ray utilization among Medicare beneficiaries is up, according to a new study published in the Journal of the American College of Radiology. Utilization is up 5.5 percent among radiologists and more than 11 percent among nonradiologists.

Categories: X-Ray Reimbursement
March 5, 2018
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How much are patients paying out of pocket for advanced imaging services?

Patients are often required to pay high out-of-pocket costs for advanced imaging services, especially when out of their network, according to a new study published in the Journal of the American College of Radiology. The authors suggested that radiologists should communicate these costs to patients to help prevent “surprise billing.”

Categories: Reimbursement
October 12, 2017
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Unsustainable Physician Reimbursement Rates

The United States has the highest per capita healthcare spending in the world. U.S. healthcare costs have outpaced inflation for several years. Over the past 20 years, the federal government has attempted to control costs—specifically Medicare costs. Cost reduction strategies often focus on specific segments of the healthcare market.

Categories: Reimbursement

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