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A Little More on the Physician Value Based Modifier

News Update:  On August 1, 2012 CMS held a national provider call designed to help health care professionals understand how they plan to implement its new value-based payment modifier initiative! This will become a reality for physicians starting in 2013. Those provider groups with 25 or more eligible professionals will see a -1.0% downward adjustment… Continue Reading

Provider-Based, to be or not to be?

Congress has been advised to “direct the Secretary of Health and Human Services to reduce payment rates for evaluation and management office visits provided in hospital outpatient departments so that total payment rates for these visits are the same whether the service is provided in an outpatient department or a physician office.” This recommendation was… Continue Reading

Changes are coming, are you ready?

The “Physician Value-Based payment modifier” will start in 2015.  Payment will be based on 2013 data. This program will become a reality for Physicians in January of 2013.  Wait we know what you are thinking! This is part of Affordable Care Act and that may not pass! Well hold on to your hats – this… Continue Reading