Wednesday, November 15, 2006
ACP Creates New Medical Billing Models
The American College of Physicians (ACP) is worried about the current medical billing reimbursement condition. On January 30, 2006 , several recommendations were suggested to reform the system to a new model. The American College of Physicians is slowly watching medical billing reimbursement drop each year and they want a change.
One suggestion made by the American College of Physicians is that practices switch to a new model called the advanced medical home. This medical billing model focuses on patients with multiple chronic conditions. Any practice that is certified as an advanced medical home practice would receive new reimbursements based on a different medical billing model. The model is based on the added value.
The American College of Physicians also suggested that legislators should closely examine the balance between surgical procedures and evaluation and management services. The Centers for Medicare and Medicaid services should properly award physicians for improving quality through medical billing reimbursement.
Another suggestion is that the sustainable growth rate should be replaced by Congress. Each year this growth rate is cut by 5%. This means each year, on average, medical billing reimbursement drops by 5%. When physician practice medical billing reimbursement suffers, healthcare suffers as well.
There is constantly a debate between physicians and Medicare. The physicians strive for additional medical billing reimbursement, while Medicare strives to cut payments. The Centers for Medicare and Medicaid services want to ensure the longevity of the health care program. Physicians want to ensure the longevity of their own practice. There is a balance that needs to be met. Medical billing reimbursement should make both parties satisfied. Perhaps the American College of Physicians and the Centers for Medicare and Medicaid services should meet and discuss areas in which they can compromise on their medical billing issues.
One suggestion made by the American College of Physicians is that practices switch to a new model called the advanced medical home. This medical billing model focuses on patients with multiple chronic conditions. Any practice that is certified as an advanced medical home practice would receive new reimbursements based on a different medical billing model. The model is based on the added value.
The American College of Physicians also suggested that legislators should closely examine the balance between surgical procedures and evaluation and management services. The Centers for Medicare and Medicaid services should properly award physicians for improving quality through medical billing reimbursement.
Another suggestion is that the sustainable growth rate should be replaced by Congress. Each year this growth rate is cut by 5%. This means each year, on average, medical billing reimbursement drops by 5%. When physician practice medical billing reimbursement suffers, healthcare suffers as well.
There is constantly a debate between physicians and Medicare. The physicians strive for additional medical billing reimbursement, while Medicare strives to cut payments. The Centers for Medicare and Medicaid services want to ensure the longevity of the health care program. Physicians want to ensure the longevity of their own practice. There is a balance that needs to be met. Medical billing reimbursement should make both parties satisfied. Perhaps the American College of Physicians and the Centers for Medicare and Medicaid services should meet and discuss areas in which they can compromise on their medical billing issues.
# posted by Medical Information : 3:29 AM
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