“Same Doctor Visit, Double the Cost” – this is the title of a recent Wall Street Journal article written by Anna Wilde Mathews, which provides a view on the hospital-physician integration phenomenon. The article describes the higher fees charged by hospitals that result when physicians become employed by hospitals.
The federal government’s war on healthcare fraud is going high-tech with the opening of a $3.6 million command center. The Centers for Medicare and Medicaid Services (CMS) pays $750 billion each year to more than 1.5 million healthcare providers, and healthcare fraud is estimated to cost taxpayers more than $60 billion annually (see Health Law Giv
After the dust has settled from the Supreme Court’s upholding of the Accountable Care Act, one key takeaway from the provider perspective appears to be reimbursement strategy. Providers must continue to determine how best to absorb looming reimbursement cuts and to benefit from the different payment methodologies.
Forward-thinking hospital systems are taking advantage of new technology to facilitate patient-doctor interaction. Providence Health Ministry in Mobile, Alabama recently announced the launch of a new smart phone app to connect patients with the doctors and physician groups practicing at Providence Hospital. The features of the app enable patients to:
With all the recent focus on the Affordable Care Act, providers need to remember the increased resources for enforcement and the need to ensure regulatory compliance at every turn. One trap for the unwary health care provider is the failure to document your arrangements with referral sources: simply put, any arrangement that involves a reasonable, fair market value payment for a necessary service must be documented appropriately.