TopMed-Pro Management, Inc.
Medical Practice Management & Consulting
NewsWire                                                                                              March 2010
In This Issue
Medicare cut delayed until April 1...
What your patients are saying about you?
Medicare cut delayed until April 1...

The Centers for Medicare & Medicaid Services (CMS) delayed the 21% cut until April 1.

Current payment system: SGR (Sustainable Growth Rate) is a complex formula used by Medicare.  It states that its average payment to doctors cannot grow faster than the economy as a whole.

Medicare is proposing new ways to pay physicians and it may incorporate one or multiple concepts described below:

  • Recalculate the SGR: Spending on physician-administered drugs would be removed from the formula calculations.
  • Re-base the SGR: The spending target would be altered to reflect the cut reversals Congress has made since 2002.
  • Multiple SGRs: The current single overall spending target for physicians would be replaced with several targets - one for each of a different group of services.
  • Bundling: Fee-for-service rates would be converted into a global fee that would pay for all services provided during a patient's episode of care. This type of bundling is already in place for the hospitals, home health agencies, and skilled nursing facilities.
  • Gainsharing: Hospitals would share with physicians any savings resulting from improved health care outcomes.
  • Medical homes: Some physicians would receive additional pay for coordinating patient care.
  • Pay-for-performance:  Physicians would receive financial incentives to meet quality or efficiency benchmarks (e.g. PQRI).
See how we got here: "Practice Costs vs. Medicare Pay since 2002".
Quote
"If you don't have time to do it right, when will you have time to do it over?" 
 
                   John Wooden
Quick Fact
Days in AR

Better performers   31.92
Others                   44.86

How many days is in your AR?

Source: MGMA
News
Aetna's Policy on Assistant Provider Payment

Blue Cross rescinds its decision to raise premiums for individual policy holders.
 
Send to a Colleague
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What your patients are saying about you?
In the past a physician's reputation was built on word of mouth.  Today, word of mouth is not limited to face-to-face.  The internet allows anyone to share his or her opinion.

Check to see what others are saying about you.  Visit the following common websites and check what others are saying about you:

In this Web 2.0 era, your online reputation is a precious asset. Once the rating is posted, it becomes nearly impossible to remove any negative comments. It is best not to respond on line, however, it may be appropriate to post a general, positive response.

Make a plan to check the above sites for your name on a regular basis or assign someone at your office to check for you. Although this is a time consuming task, it is worth the time. If you or your staff do not have the time, MedPro can monitor and report back to you on a monthly basis.
If you are interested to find out more about any of the topics mentioned, please do not hesitate to send us an email at mpm@medpromanagement.com or call us at (888) 549-1713.
 
Sincerely,
 
Med-Pro Management, Inc.
www.medpromanagement.com


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