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October 7, 2019

·       Despite what you have been led to believe, participation in MACRA and MIPS is not mandatory.  In fact, participating is not in your best interest

·       The financial penalties for non-participation are either non-existen...

March 13, 2018

(https://www.whitehouse.gov/wp-content/uploads/2018/02/budget-fy2019.pdf)

President Trump’s budget for 2019 includes a proposal to end quality reporting under the Merit-based Incentive Program (MIPS),  MIPS is one of the two tracks under Medicare’s new payment system th...

November 28, 2017

The Office of the National Coordinator – the agency behind Meaningful Use and MACRCA / MIPS, is facing a 37% budget cut ($22M) in 2018.  The National Coordinator of the ONC, Don Rucker, MD, is going to deal with that budget cut by eliminating the Office of the Chief Pr...

October 31, 2017

It seems that in healthcare (as in almost all else) the big keep getting bigger and the small keep getting smaller.  So what is the fate of the solo practitioner?  And what of the small, independent medical clinic?

It is a fact that smaller practices are not as com...

September 6, 2017

A new deadly strain of ransomware aimed directly at the healthcare industry is making the rounds.  The virus is spread through a Microsoft Word document.  According to Proofpoint, a global cybersecurity firm, the virus targets victims with specific, customized messages...

February 10, 2017

Just a friendly reminder on lesion destruction/shavings/removal/excision:

Medicare will only cover the removal (17000/17003 and 17110) of seborrheic keratosis if it is inflamed. Medicare will NOT pay for code L82.1 ("Other seborrheic keratosis") and will only pay for L8...

May 24, 2016

The World Economic Forum published an article that compares expenditures on health care by nation. It's interesting. The point of the article was to demonstrate how ineffective and expensive American healthcare is. Without a doubt, American health care is ridiculously...

January 20, 2016

If elected president, Senator Bernie Sanders proposes to implement a single-payer universal health care system for America. What would that look like? How would we pay for it?

Senator Sanders proposes to pay for universal health care by taxing the ‘middle class’ an addi...

January 6, 2016

The current trajectory of the Affordable Care Act is not sustainable. As was mentioned in a previous post, one-half of Obamacare’s exchanges have gone out of business. The average 2015 loss for the remaining was $20,000,000 per co-op, and none of them were in the black...

December 31, 2015

Meaningful Use is going into its fifth year. Government bureaucrats are bickering over the final rules for MU3 and lawmakers are arguing about the timetable. Staff scrambles to compile reports and data for last-minute 2015 MU2 attestation and we’re all left bemusedly c...