Overpayments might not top your list of physician billing issues, but with recent CMS actions, it might be time to rethink that stance.
Orthopedic trauma surgery reimbursements have been dropping. According to a study in the Journal of Orthopaedic Trauma, reimbursement for trauma surgery has dropped by almost one-third over the past 20 years .
Patients hate surprise bills and soon, they’ll be much less common, thanks to the “No Surprises Act” . But while the bill protects patients it adds new complexities for physicians. In many ways, it shifts the balance of power to commercial health plans, something that could work out negatively for physicians.
The COVID-19 pandemic has changed healthcare. Most attention has been paid to shifts in telemedicine and remote work, but other changes are emerging. One of the biggest is the concept of the “hospital at home”.
While some of the news around CMS’ release of the payment rule for CY 2021 has been positive, many home health agencies are likely bristling at new policies around the Requests for Anticipated Payment (RAPs) for 2021 and beyond.