Ray Painter

Proposed MIPS rule modifies 2018 requirementsThe proposed rule for MACRA and the Merit-based Incentive Payment System program was released June 21, 2017-- As expected, the program requiring the implementation of the new MIPS scoring system and incentives to move to alternative payment models will continue.
What happens when prior auths don’t match services provided?
What happens when prior auths don’t match services provided?
How your practice can avoid medical necessity denialsThe practical application of medical necessity has taken many forms, and in this increasingly complex world of health care, understanding these applications has become a critical component of your business.
How to charge for E&M services, procedure on same date
How to charge for E&M services, procedure on same dateIn this "Coding Q&A," the Painters also answer a question regarding coding for sling and cystocele repair with mesh repair.
Telemedicine: Reimbursement in fee-for-service, quality modelsThe provision of health care via technology and without direct eye-to-eye and skin-to-skin contact is an area of growing interest in the U.S. It is also an area of great concern. One of the key conundrums surrounding telemedicine is the when, how, and what to pay for the service.
Established patient return visits: How to avoid a denial
‘I can’t keep up’: Pay cuts, prior authorization take their toll
‘I can’t keep up’: Pay cuts, prior authorization take their toll
BCG instillation: Why you can’t get reimbursed for catheters
CMS releases pay, Quality Payment Program rules
QRUR: What is it, and why should you care?"We strongly recommend that you obtain your practice QRUR regardless of your practice size and learn more about the report," write Ray Painter, MD, and Mark Painter.