Insurance companies and government programs like medicare utilize what is known as “cost sharing”. This is simply that patients will have a copay, or deductible, for example. For most patients and insurance companies, this can work as a good balancing act of care and sharing the cost.
Read MoreThe Medicare Access and the Children’s Health Insurance Program (CHIP) Act of 2015 gives physicians the choice of two reimbursement methods beginning in 2019.
Read MoreThe Medicare Access and CHIP Reauthorization Act (MACRA) eliminated the sustainable growth rate (SGR) formula. MACRA has a variety of provisions physicians should know as well as many implications for the future of Medicare. MACRA will change payments and penalties for physicians in fee-for-service practice by aligning quality reporting programs into one merit-based incentive payment system (MIPS).
Read MorePresident Obama nominated Andy Slavitt as a potential candidate for the CMS Administrator. Slavitt is well known as the leader of the largest medical fraud operation that defrauded 110 million Americans out of hundreds of millions of dollars. In 2009, Slavitt was CEO of Ingenix, a health data analytics firm in the middle of a $50 million settlement with then-New York Attorney General Andrew Cuomo and a $350 million settlement with the American Medical Association.
Read MoreDr. Sharon Iglehart is accused of federal conspiracy, 2 health care fraud charges and a pair of allegations that she made false statements to investigators. The psychiatrist was indicted separately in the Riverside General Hospital $160 million Medicare billing fraud scheme. After being arrested in December 2013, Iglehart retained her freedom on $50,000 bail and pleaded not guilty to the twice amended 5 counts.
Read More
© 2013-2015 Copyright, MedicalGroups.com, Rational Actors Society Inc. All Rights Reserved
Medical Groups
Rational Actors Society Inc.
260 NEWPORT CENTER DRIVE STE. 210
NEWPORT BEACH, CA 92660
Site design by Experiencia Social
