Page 5 - Anders Gilberg News Today

Healthcare

/PRNewswire/ -- The Medical Group Management Association (MGMA) today released its 2021 Annual Regulatory Burden Report. With responses from 420 medical group...

/PRNewswire/ -- The Medical Group Management Association (MGMA) today released its 2021 Annual Regulatory Burden Report. With responses from 420 medical group...

Demand for documentation on many routine claims by ambulatory care groups is slowing payment; more complex claims are routinely downcoded by major insurers as well.

email article WASHINGTON -- The Centers for Medicare & Medicaid Services (CMS) proposed 2022 Physician Fee Schedule (PFS) rule for Medicare would lower the amount physicians are paid under fee-for-service Medicare and change the requirements for incentives under the Quality Payment Program. The changes, announced at 8 p.m. Tuesday, include a decrease in the "conversion factor" -- the multiplier that Medicare applies to relative value units (RVUs) to calculate reimbursement for a parti...

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Share this article WASHINGTON, May 20, 2021 /PRNewswire/ -- In a new May 18, 2021 MGMA Stat poll, 81% of medical group practices reported that prior authorization (PA) requirements have increased since 2020.  Only 2% of respondents stated that PA requirements have decreased. "Despite a modest reprieve from certain health plan prior authorization requirements during the first few months of the pandemic, medical groups report a significant spike in prior authorization requirements since 2020,...

s "After the Pandemic" series, we asked our editorial board members to discuss what significant and lasting effects the COVID-19 pandemic will have on medicine and the delivery of healthcare. Here, we interview Anders Gilberg, senior vice president for government affairs at the Medical Group Management Association (MGMA) in Washington, D.C. What effects will the pandemic have -- in the aftermath -- on the way medical practices are run? Gilberg: Last year, medical practices were forced to ...

email article WASHINGTON -- Healthcare groups are applauding efforts being made in Congress to stop two different cuts to the Medicare budget -- both of which are due to "sequestration" requirements -- before its too late. One cut, part of the normal budget process, is a 2% -- or $18 billion -- cut in the projected Medicare budget under a process known as "sequestration." Sequestration allows for prespecified cuts in projected agency budget increases if Congress cant agree on th...

Cigna eliminates prior authorization for coronary CT scans Getty Images Cigna will no longer require prior authorization for some CT scans of the heart, a move that providers said will relieve administrative burdens among physicians and result in better outcomes for patients. On Feb. 1, Cigna will end prior authorizations for CT angiogram of the heart, coronary arteries and bypass grafts with contrast material. This includes 3D image post-processing. Cigna also removed prior consent for fracti...