Payment & Revenue News

• Are You Satisfied With the Medical Specialty You Have Chosen? How satisfied are you with your medical specialty?
  Medscape Reader Polls, March 31, 2023
• Doc and Group Owe $13.5M After Patient's Serious Brain Injury Delay of care and diagnosis of a patient in the emergency department led to irreparable brain damage, resulting in a huge payout.
  Medscape Medical News, March 22, 2023
• New Rheumatologists Need Insurance Awareness to Give Best Care Rheumatologists need to know how drug utilization management techniques impose unwanted alternatives on their patients' care, and then use their voice to advocate for change.
  Medscape Medical News, March 17, 2023
• Temp Nurses Cost Hospitals Big During Pandemic Missouri is considering making it a felony to jack up temporary healthcare staffing prices during a statewide or national emergency. It's one of at least 14 states looking to reel in travel nurse costs.
  Kaiser Health News, March 17, 2023
• Rheumatology Fellows Learn About Career Opportunities Rheumatology is not one of the higher-paid medical specialties, but its practitioners have found other reasons for career fulfilment in their clinical relationships with their patients.
  Medscape Medical News, March 17, 2023
• In the Shadow of Big Centers, Community Oncologists Still Thrive Choosing to practice at a community oncology center over a larger institution may seem like a risky endeavor. But many oncologists are still able to succeed professionally and financially in these smaller practices.
  Medscape Medical News, March 16, 2023
• Docs Feel 'Trapped' by Noncompete Policies: Survey Amid a new survey highlighting the financial and mental strife noncompete agreements cause emergency physicians, ACEP urges the FTC to finalize the proposed federal ban on restrictive covenants.
  Medscape Medical News, March 15, 2023
• ACR Urges CMS to Address Step-Therapy Policies The professional organization offered recommendations on CMS's proposed rule to streamline prior authorization practices.
  Medscape Medical News, March 14, 2023
• More Physicians Pivot Their Careers to Find Balance and Happiness Pivoting from your medical practice may seem like a far-off dream that comes with less compensation, but these four physicians all did it in different ways and are happier and earning more.
  Medscape Medical News, March 14, 2023
• Experts Share Details Prescribing Avacopan for ANCA Vasculitis Rheumatologists said more data are needed to determine optimal glucocorticoid tapering and treatment duration of avacopan for patients with ANCA-associated vasculitis.
  MDedge News, March 14, 2023
• Doc to Pay $3M to Settle False Billing Claims for TMS Services A Houston psychiatrist has agreed to pay $3 million to settle with the federal government over claims that he and his companies billed Medicare for unnecessary transcranial magnetic stimulation services.
  Medscape Medical News, March 09, 2023
• Telehealth Doctor Indicted on Healthcare Fraud, Opioid Distribution Charges  A physician who overprescribed controlled substances and submitted Medicare claims for telehealth visits she didn't conduct herself has been indicted.
  Medscape Medical News, March 09, 2023
• What Can Go Wrong When Doctors Grant Professional Courtesy? Professional courtesy between physicians has declined amid concerns about violating payer contracts and laws. Here's how doctors can reduce those risks.
  Medscape Medical News, March 08, 2023
• COVID Aid Papered Over Colorado Hospital's Financial Shortcomings Financial pitfalls at a Colorado hospital high in the Rocky Mountains serve as a cautionary tale as rural hospitals emerge from the pandemic on shaky ground.
  Kaiser Health News, March 07, 2023
• How China's New No.2 Hastened the End of Xi's Zero-COVID Policy In November, top Chinese officials had been quietly formulating plans over the preceding weeks to dismantle President Xi Jinping's zero-COVID strategy and gradually reopen the country.
  Reuters Health Information, March 03, 2023
• Only Physicians Should Handle Prior Authorization Disputes: Doctors Groups As federal health officials work to streamline prior authorization procedures, physicians groups press for more clarity about the background of insurance reviewers who handle medical treatment disputes.
  Medscape Medical News, March 03, 2023
• $8.5 Million Settlement After Fraud, Concurrent Surgeries A whistleblower alleged that University of Pittsburgh Medical Center and its chair of cardiothoracic surgery participated in and billed for up to three concurrent surgeries, risking patient harm and violating the False Claims Act.
  Medscape Medical News, March 03, 2023
• Alert Lilly Cuts Insulin Price by 70%, Caps Out-of-Pocket Cost As of May 1, nonbranded insulins will cost $25 a vial, and Lilly says it will immediately cap out-of-pocket costs at $35 per month.
  News Alerts, March 01, 2023
• Empathy Meltdown? Why Burnout Busts Your Empathy Levels If empathy is the best medicine, burnout is its enemy. Here's some guidance when burnout plummets your levels of empathy.
  Medscape Medical News, March 01, 2023
• Physician Pleads Guilty to 52 Counts in Opioid Scheme The doctor prescribed to patients he knew to have psychiatric or substance use disorders and ignored pleas to lower doses.
  Medscape Medical News, February 27, 2023