Those who have listened to me speak about the evolution of chiropractic research over the past 30 years may have already heard me talk about the questions that I am asked most frequently by policy makers regarding what we do...
ACA Tag: payment
Taxes, Football and Conflicting Rules
When you play in a sport and follow the rules there is an expectation of a fair game with a winner and loser. If you watched the recent Super Bowl you may have seen two touchdowns by the Philadelphia Eagles...
Blues Plans Issuing Denials for Certain Modifiers
ACA has recently heard from members in a few states that some Blue Cross Blue Shield plans are automatically denying claims that contain the -25 and -59 modifiers. The states we have heard from to date include Illinois, Oklahoma and...
MACRA and MIPS: Getting the Big Picture
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) officially ushered in the value-based model of reimbursement, beginning a change to the payment landscape of American health care. But what does this mean to providers? What does it mean...
Pros and Cons of MACRA: It’s a Business Decision
ACA and Best Practices Academy team up to provide education on value-based reimbursement Having had the opportunity to speak across the nation regarding the new Medicare quality payment program, I soon realized how emotionally charged our colleagues are about the...
U.S. Healthcare Payment Systems: Frequently Asked Questions
*Member-Exclusive Content* Health care payment systems in the United States have come a long way from the traditional fee-for-service model that dominated in year’s past. Today, numerous new payment models have emerged that aim to increase cost efficiency and enhance...