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Profit sharing, productivity bonuses for physicians: 5 Stark Law updates

Posted Jun 18, 2021

Stark Regulatory Changes Effective January 1, 2022

The Centers for Medicare and Medicaid Services (CMS) recently implemented major changes to the Stark Law regulations, most of which are already in place. However, some health care providers may be less aware of the changes to the “special rule for productivity bonuses and profit sharing” within Stark’s group practice definition. 

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Radiology Orthopedics Healthcare News

UnitedHealthcare Reimbursement Policy Update

Posted Mar 26, 2021

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As of March 1st, 2021, UnitedHealthcare has made several updates to their reimbursement policy for Advanced Practice Health Care Providers. The previous policy change was made on April 13th, 2020 when the word “Commercial” was added to the policy header. 

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Medical Coding Healthcare News Billing & Reimbursement

CMS Finalizes Major Cut in Radiology Reimbursement

Posted Feb 19, 2021

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After some delay due to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) has released the final set of guidelines that will govern the Medicare payment system for 2021. The rule for the Medicare Physician Fee Schedule (MPFS) was proposed earlier last year, and since then, slight revisions have been made including an improvement in the conversion factor and a change to the Quality Payment Program (QPP) performance threshold. 

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Radiology Medical Coding Healthcare News Billing & Reimbursement