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Providers take advantage of new end-of-life CMS billing codes

Providers take advantage of new end-of-life CMS billing codes

By Virgil Dickson  |  August 14, 2017

Providers increasingly are conducting advance care planning conversations with Medicare beneficiaries thanks to new CMS billing codes and a push to prepare early for patients' final days. The trend resulted in them drawing down $93 million in additional revenue last year.

Q&A with Angood: Physicians face leadership role challenges in complex environment

Q&A with Angood: Physicians face leadership role challenges in complex environment

By Modern Healthcare  |  August 11, 2017

As policymakers, providers and payers continue to tinker with alternatives to an ailing fee-for-service delivery model, physicians are increasingly being called upon to help lead the transformation. Roughly 5% of hospital leaders were physicians in 2014, according to the American Association for...

Texas doctor gets 35 years in prison for $375M medical fraud

By Associated Press  |  August 10, 2017

The 60-year-old Dallas-area doctor and six co-defendants defrauded Medicare and Medicaid out of almost $375 million by certifying 11,000 Medicare beneficiaries through home health providers. Their numbers would have made the doctor's Medicare practice the busiest in the country.

Envision sells its ambulance business to KKR for $2.4 billion

Envision sells its ambulance business to KKR for $2.4 billion

By Dave Barkholz  |  August 08, 2017

Under the deal, Envision's American Medical Response will be combined with KKR's Air Medical Group Holdings to create a medical transportation behemoth serving more than 5 million patients annually across 46 states and the District of Columbia.

Physicians with high-risk patients struggle under value-based pay model

Physicians with high-risk patients struggle under value-based pay model

By Maria Castellucci  |  August 02, 2017

A new JAMA study finds that physicians who see a large number of high-risk patients were more likely to receive a penalty in a value-based payment program, exacerbating concerns from critics that safety-net providers may suffer losses under MACRA.

Independent physician groups join forces, go 'the other way'

By Lydia Coutré  |  July 24, 2017

As the regulatory environment, technology requirements and overhead costs force independent docs to consider selling or joining larger systems, two independent physician groups in Northeast Ohio are looking to push back against that trend.

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