If the trends currently in motion continue, you will see the beginning of accountable care organizations in 2012, with increasing numbers of them year by year, unless there is a repeal of the shared savings portion of the Affordable Care Act or the final rule restricts the potential savings that can be obtained by any ACO.
If the trends currently in motion continue, you will see the beginning of accountable care organizations (ACOs) in 2012, with increasing numbers of them year by year, unless there is a repeal of the shared savings portion of the Affordable Care Act or the final rule restricts the potential savings that can be obtained by any ACO.
The real question is: What should you do now to prepare your practice for the coming changes?
We cannot answer that question specifically without a thorough analysis of your practice. Every practice is different, and the circumstances in every geographic area are different. We can only provide you with some ideas you should think about in making your decision on future action.
Some general recommendations
The first set of recommendations will apply to most practices regardless of size and location:
Potential code for prior authorizations on AMA CPT Editorial Panel meeting agenda
March 28th 2024"Good public and economic policy must align costs, benefits, and incentives; currently, all costs are incurred by physician practices, and all financial savings and benefits from prior authorization accrue to health insurance plans, leading to perverse incentives,” says Alex Shteynshlyuger, MD.
How to code for removal of a bladder calculus via a Mitrofanoff
March 22nd 2024"Per CPT coding instructions, when procedures or services performed by physicians do not have a valid or descriptive CPT or Healthcare Common Procedure Coding System (HCPCS) code, the service should be reported using an unlisted code," write Jonathan Rubenstein, MD, and Mark Painter.