Medical Billing and Coding Healthcare Blog

A new case study about a full-service, independent laboratory is now available in our Library.

This lab had locations in multiple Southern states and was experiencing substantial growth, but it's existing billing partner was struggling to handle the increase in claims and meet the evolving needs of the expanding organization.

That all changed when the lab switched to PGM Billing, one of the nation's leading provider of lab billing services.

PGM provided a wide range of services that delivered impressive, sustainable results, including an increase in collections, extensive financial reports and assistance with credentialing.

View the case study on laboratory billing services.

The Centers for Medicare & Medicaid Services' (CMS) Medicare Learning Network will offer a free listening session the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

The program, titled "MACRA Listening Session: Quality Payment Program Proposed Rule," is scheduled to take place Tuesday, May 10, from 2:00-3:00 p.m. ET.

This listening session is an opportunity for stakeholders to provide CMS early feedback on proposed policy for the Quality Payment Program. Participants are encouraged to review the proposed rule (CMS-5517-P) prior to the program.

Space may be limited. To register, click here.

MACRA changes the way Medicare rewards clinicians for providing quality care by streamlining multiple quality programs into a new Quality Payment Program tied to Part B fee-for-service payments.

With the implementation of MACRA and the replacement of the sustainable growth rate (SGR), Medicare will pay clinicians participating in the merit-based incentive payment system or advanced alternative payment models of the Quality Payment Program beginning in 2019.