Recent Posts

Medicaid expansion’s impact on pediatric volumes, doughnut holes, and reimbursement

on March 21, 2013  |  Permalink

Topics: Health Care Reform, Market Trends, Strategy, Payer and Regulatory Policy, Medicaid, Reimbursement, Finance, Pediatrics, Service Lines, Imaging

Ben Lauing, Imaging Performance Partnership

My colleague Robin Brand recently spoke at the Children’s Hospital Association’s Radiology Directors Forum in Houston, where she discussed several of the key forces currently impacting pediatric imaging programs. Much of the conversation focused on health care reform, and, in particular, the current state of Medicaid expansion.

While increased eligibility for Medicaid will have a disproportionate impact on children’s hospitals, as Medicaid covers a significant number of uninsured children, Medicaid expansion will impact all providers.

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Medicaid expansion’s impact on pediatric volumes, doughnut holes, and reimbursement

CMS Limits Application of MPPR for 2012

on December 19, 2011  |  Permalink

Topics: Reimbursement, Finance, Medicaid, Medicare, Imaging, Service Lines, Payer and Regulatory Policy, Market Trends, Strategy

Stephanie Krent, Imaging Performance Partnership

Earlier today, the Centers for Medicare and Medicaid Services (CMS) announced a revision of the Multiple Procedure Payment Reduction (MPPR) rules. For 2012, there will be no payment reduction applied to the professional component of imaging services performed on the same patient in the same session but read by different physicians in the same practice.

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CMS Limits Application of MPPR for 2012