Fee for Service


CMS Monday Morning Rounds 3-27-17

CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on Inpatient Skilled Nursing Facility denials and Chronic Care Management Payment correction for RHCs and FQHCs.



Are You Leaving Money on the Table That Your Practice Needs?

By Mordy Pelleg – For clinicians working in the complex American healthcare system, getting paid for every single procedure, service and visit has always been something of a challenge. Yes, fee-for-service medicine created a fairly linear relationship between effort and remuneration, but even in that scenario many hospitals and practices have teetered on the edge of solvency, in part for lack of efficient billing practices.


CMS Monday Morning Rounds 4-25-16

CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on IPPS and LTCH Proposed Rule , Medicare Advantage quality data, Next Generation ACO Model, and Open Payment Data.


CMS Monday Morning Rounds 4-11-16

CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on eCQM library and eCQI resources, SNF Value-Based Purchasing Program, Medicare Shared Savings Program, and the Clinical Laboratory Fee Schedule.


Fee-For-Service to Value-Based Care: The Future is Now

By Don Michaels PhD – The U.S. Department of Health and Human Services (HHS) has a stated goal of shifting 85% of Medicare fee-for-service reimbursement into value-based models by 2016. Private payers will no doubt follow close behind. Meeting this aggressive goal is causing angst among healthcare providers with much conjecture about what it means for their organizations going forward.