decisionhealth Newsletters, Part B News - 2013 Issue 6 (June)
Focus on income to counter 2% sequestration cuts to Medicare payments
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Article Overview
This article explains practical revenue-focused steps physician practices can consider when Medicare sequestration reduces reimbursements. It is aimed at practice administrators, billers, and physicians who want to understand broad cash-flow and reimbursement topics, including payer contract review, preventive service capture, CMS incentive programs, copay collection, and insurance policy shopping. The discussion is about financial management and reimbursement operations rather than clinical care.
Why This Topic Matters
For practices facing reduced Medicare revenue, small gains in billing accuracy, payer negotiations, preventive service capture, and payment cycle management can help offset financial pressure. The article is relevant to organizations looking for general reimbursement and revenue-cycle guidance during a period of Medicare payment cuts.
Article Sections
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Physician payments
Introduces the reimbursement and cash-flow pressure created by Medicare sequestration and frames the article’s revenue-focused approach.
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6 tips to optimize income during sequestration
Presents a set of practice-management strategies intended to help physician offices address reduced Medicare payments. The section covers payer review, contracting, preventive services, incentive programs, collections, and insurance-related cost management.
What You Will Learn
- How the article frames sequestration as a revenue-management issue for physician practices
- What general areas of practice operations are discussed as ways to support income
- How the article connects reimbursement pressure with payer contracting and payment-cycle management
- Which CMS incentive program categories are referenced in the discussion
- Why patient collections and insurance policy review are included in the financial strategy
Who Should Read This
- Physician practice owners
- Practice managers
- Medical billing and revenue cycle staff
- Healthcare administrators
- Coding and reimbursement professionals
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